Frank K. Butler, MD; John B. Holcomb, MD; Martin A. Schreiber, MD; Russ S. Kotwal, MD; Donald A. Jenkins, MD; Howard R. Champion, MD, FACS, FRCS; F. Bowling; Andrew P. Cap, MD; Joseph J. Dubose, MD; Warren C. Dorlac, MD; Gina R. Dorlac, MD; Norman E. McSwain, MD, FACS; Jeffrey W Timby, MD; Lorne H. Blackbourne, MD; Zsolt T. Stockinger, MD; Geir Strandenes, MD; Richard B, Weiskopf, MD; Kirby R. Gross, MD; Jeffrey A. Bailey, MD
Journal of Special Operations Medicine. 2014 Fall;14(3):13-38.
This article discusses changes in the Tactical Combat Casualty Care (TCCC) guidelines that are based on a review of the literature on fluid resuscitation in hemorrhagic shock. The evidence extracted from the literature review was applied to the resuscitation of combat casualties in the prehospital environment and used to develop updated TCCC fluid resuscitation guidelines.
** Normal Saline (NS) is not recommended for hemorrhagic shock, but may be indicated for dehydration.