Background: The Neonatal Resuscitation Program highlights the importance of a newborn's first minute, "Golden Minute", during which pediatrician determines if newborn requires, and initiates advanced resuscitation. From birth to neonatal evaluation, we detect periods that call "Lost Time", delay resuscitation because it is not controlled: "adequate position" in gynecologists must "pass" pediatr...

BACKGROUND Traumatic hemorrhagic shock (THS) is a leading cause of preventable death following severe traumatic injury. Resuscitation of THS is typically targeted at blood pressure, but the effects of such a strategy on systemic and microcirculatory flow remains unclear. Failure to restore microcirculatory perfusion has been shown to lead to poor outcomes in experimental and clinical studies. S...

HYPOTHESIS Traditional clinical resuscitation from hemorrhagic shock that focuses on restoring central hemodynamic function does not adequately perfuse the gut. Intestinal hypoperfusion could stimulate ongoing organ failure and gut-derived systemic inflammatory response syndrome. Direct peritoneal resuscitation (DPR) that uses dialysis fluid improves perfusion and survival. We examined mesenter...

Objective- The aim of this study was to assess ultrasonography-derived caudal vena cava to aorta ratio (CVC/Ao) as a novel endpoint in the resuscitation of experimental hemorrhagic shock in dogs. Design- Experimental study. Animals- Ten adult mongrel healthy dogs. Procedures- After induction of anesthesia (con...

Roentgenograms should be obtained judiciously and must not delay patient resuscitation or transfer. Three roentgenograms should be obtained during the secondary survey cervical spine (c-spine), anterior/posterior (AP) chest, and AP pelvis. These films can be taken in the resuscitation area, usually with a portable x-ray unit, during hiatuses in the resuscitation process. Equipment in the resusc...