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BACKGROUND The role of fluids in trauma resuscitation is controversial. We compared resuscitation with 0.9% saline vs hydroxyethyl starch, HES 130/0.4, in severe trauma with respect to resuscitation, fluid volume, gastrointestinal recovery, renal function, and blood product requirements. METHODS Randomized, controlled, double-blind study of severely(More)
The present review of fluid therapy studies using balanced solutions versus isotonic saline fluids (both crystalloids and colloids) aims to address recent controversy in this topic. The change to the acid-base equilibrium based on fluid selection is described. Key terms such as dilutional-hyperchloraemic acidosis (correctly used instead of dilutional(More)
training in anesthesia crisis resource management (ACRM): a decade of experience. A cognitive perspective on medical expertise: theory and implications. Retention and trans-ferability of team resource management skills in anaesthetic emergencies: the long-term impact of a high-fidelity simulation-based course. The role of non-technical skills in(More)
BACKGROUND There are no general policies or protocols for procedural sedation in the emergency department and no literature on present practice in South Africa. AIMS To investigate procedural sedation (PS) practice in adults in emergency departments (EDs) in Cape Town, South Africa. METHODS A cross-sectional descriptive study was performed by(More)
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