TY - JOUR ID - 92102 TI - Adherence to guideline in hydrating traumatic patients with crystalloid fluids: A single center experience from Southern Iran JO - Journal of Emergency Practice and Trauma JA - JEPT LA - en SN - AU - Paydar, Shahram AU - Akbarzadeh, Armin AU - Nasermoadeli, Ladan AU - Mohammadkarimi, Vahid AD - Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran AD - Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran AD - Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran AD - Department of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran Y1 - 2023 PY - 2023 VL - 9 IS - 1 SP - 9 EP - 12 KW - Crystalloid Solutions KW - Shock KW - Hemorrhagic KW - Guideline Adherence KW - Advanced Trauma Life Support Care DO - 10.34172/jept.2022.22 N2 - Objective: The adherence of the physicians to guidelines in resuscitation of the patientsis of great importance since it can predict the outcome. To evaluate the adherence of thephysicians of our center in hydration of traumatic patients with crystalloids regarding theAdvanced Trauma Life Support (ATLS) guidelines.Methods: We designed an algorithm obtained from ATLS guidelines using vital signsand status of bleeding of the traumatic patients to classify them. After categorizing thepatients according to the algorithm, we evaluated the adherence of the physicians to theguideline in hydration of traumatic patients with crystalloids.Results: This is a cross-sectional study in which 998 traumatic patients who were admittedto the emergency ward of Rajaee trauma hospital were enrolled. Most of the patients weremen (89.6%) and the most common causes of traumatic injuries were traffic accidents.Proper hydration was seen in only 14.7% of the patients. Most of the patients were overhydrated (85%) regarding both our algorithm and the patients’ base excess.Conclusion: The present study showed that the adherence of physicians in our centerin resuscitation with crystalloid was low. Also, most of the traumatic patients wereoverhydrated with crystalloids. It is suggested that physicians retrain concerning theside effects of over hydration. In addition, we need a user friendly and more applicableguideline for hydration with crystalloids UR - http://www.jept.ir/article_92102.html L1 - http://www.jept.ir/article_92102_df5dcc87fcff3eb572a4b7bcd442056d.pdf ER -