Volume therapy in the air rescue service.

DOI: 10.36210/BerMedJ/epub602017

Abstract

Crystalloid and colloidal infusion solutions are widely used in acute and emergency medicine. In the context of trauma therapy, solute infusion solutions have been an important component in the first golden hour of emergency treatment to treat shock and volume loss consistently. We analyze 10423 air rescue missions with 1117 trauma treatments and assess the impact of infusion therapy on the TRISS score. In the treatment group without volume therapy (n= 547) the TRISS score dropped by 1.63 points. In the group with crystalloid infusions (n=529), there was a volume-dependent increase in the TRISS score. For 500 ml by 0.22 points, for 1000 ml by 12.08 points and for infusions up to 2000 ml by 51.1 points. In the colloidal infusion group, the TRISS score decreased by 0.56 points up to 500 ml. Up to 1000 ml of colloidal solutions, the TRISS increased by 0.6 points, up to 2000 ml to 8.05 points and in the group over 2000 ml to 13.32 points. When crystalloid and colloidal solutions were combined, the TRISS decreased by 5.87 points up to 1000 ml and increased by 1.61 points above 2000 ml. Above 2000 ml, the combination caused the TRISS score to increase by 19.24 points.

The TRISS score is an effective tool for calculating the probability of death in trauma patients. Infusion therapy has a significant influence on the probability of death according to TRISS.