Keynote Abstract

A Radically Different Approach to Resuscitation

Trauma resuscitation has been traditionally based on aggressive acellular fluid administration with the goal of preserving a "normal" blood pressure and restoring vital signs as quickly as possible after injury. This concept has been debated when resuscitation aims to replenish intravascular volume lost due to severe bleeding. Published evidence suggests that limited resuscitation and lower blood pressures as endpoints are acceptable in the short term. This concept, labeled as hypotensive or hypovolemic or hemostatic resuscitation, has revolutionized trauma care but is still not practiced broadly. The evidence and rationale of this approach, which differs drastically from practices of the past, will be discussed. Furthermore, new and radically different methods of resuscitation and bleeding control will be described, including experimental techniques of enhancing the pro-survival phenotype, improving the coagulation pathway, adjusting the metabolic rate, and controlling intracavitary bleeding within the golden hour after trauma.

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HSC Poster Overview

The Poster Day Conference initiated in 1996 has now become enshrined as an annual event in the HSC academic calendar. It is most heartening to see that it has been consistently supported by the active and enthusiastic participation of not only the researchers of the HSC and Science Faculties of the University but as well by other institutions and hospital departments in Kuwait, and even from some outside of the country.

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