Features of infusion therapy at the prehospital stage in hemorrhagic shock

Hemorrhagic shock is the most severe complication of military trauma. It requires special attention among the main causes of death. Blood loss and associated hemorrhagic complications can be prevented, so the provision of effective medical care at the prehospital stage is an actual question. The review presents data from PubMed and open information from other Internet resources covering the issues of prehospital care for traumatic hemorrhagic shock. We conducted a comparative analysis of the use of various infusion-transfusion media and studied their features and results of use. We also explored the main advantages and disadvantages of using infusions with crystalloid and colloid solutions and considered the possibility and necessity of transfusions at the prehospital stage. In addition, we studied their effect on patient survival. It was found that if transfusion therapy is carried out on time, the mortality rate will be reduced. However, there are some logistical limitations, so further researches are needed to optimize their use in the prehospital stage. Also, the using of artificial blood products (for example, perftoran) as unique blood substitutes with a gas transport function is one of the promising areas.