•Over the last
20 years, the practice of giving a high volume of fluids for shock has come under some question.
§Clinical and basic science literature
does not support this practice.
•There is growing evidence
that early aggressive fluid resuscitation with crystalloid-based fluids is
associated with a variety of complications.
•Both human and animal
studies have shown the benefit of delayed and minimal fluid resuscitation until
severe bleeding has been controlled.
»