Lactate and Resuscitation in Trauma Care

This chapter explores the integration of lactate and base deficit as key biochemical markers in the latest ATLS guidelines, discussing their historical context and clinical importance in predicting patient outcomes in trauma and sepsis. The conversation critiques common practices in fluid resuscitation, advocating for a balanced approach to monitoring lactate levels while emphasizing the need for comprehensive assessments using ultrasound in critical care settings. Additionally, it addresses misconceptions surrounding lactate readings and highlights the significance of cardiac monitoring during the resuscitation process.