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The Importance of Perfusion in Traumatic Patients
Even in the setting of a non trauma patient, it's very controversial as to what adequate perfusion is. But until you plug the hole, which is bleeding, you aren't going to make any inroads. You may have a transient increase in your blood pressure by giving a liter of of crystalloid. But then you're into that triad of coagulopathy of acidosis of dilution.