Clinical algorithm for initial fluid resuscitation in disasters

W. C. Shoemaker, V. Kvetan, V. Fyodorov, H. B. Kram

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations


This article reviews past experience with branch-chain decision trees for fluid resuscitation of various emergency conditions and analyzes the effects of compliance with the algorithm on mortality and shock-related complications. On the basis of this analysis, the authors propose a new algorithm for fluid resuscitation of mass casualties when only palpable systolic blood pressure is available and when blood pressure, hematocrit, central venous pressure, urine output, and arterial blood gases are available.

Original languageEnglish (US)
Pages (from-to)363-378
Number of pages16
JournalCritical Care Clinics
Issue number2
StatePublished - 1991
Externally publishedYes

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine


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