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As in the military, old truisms in medicine fade away slowly. For the past four decades most surgeons have held that good treatment for traumatic shock requires plasma, or blood, or both. During the last 25 years, however, a mass of experimental and clinical evidence has been accumulating that demonstrates that salt solutions in adequate dosage can replace colloids in the treatment of traumatic shock and can greatly diminish the need for whole blood in hemorrhagic shock. In most textbooks on this subject, plasma therapy is the sine qua non of good treatment, and only rarely is there allusion to
Burns, Shock, and Plasma Volume Regulations.. Ann Intern Med. 1968;68:1199–1200. doi: 10.7326/0003-4819-68-5-1199_2
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Published: Ann Intern Med. 1968;68(5):1199-1200.
DOI: 10.7326/0003-4819-68-5-1199_2