Fluid Management in Trauma

Fluid therapy is one of the major interventions in primary survey to sustain life during acute trauma. Over the years, it has evolved with new evidences and association of harm seen with certain fluid options and strategy. Recent years has seen major changes in fluid therapy of trauma patients with most guidelines advocating restricted fluid therapy for the benefit of trauma patients. The outcome not only depends upon the type of fluid but also depends significantly on rate of fluid as well as amount of fluid administration. This chapter provides framework of fluid therapy in major trauma patients presenting after acute trauma.