Trends in Prehospital Blood, Crystalloid, and Colloid Administration in Accordance With Changes in Tactical Combat Casualty Care Guidelines.
Emily E ClarkeJames HammAndrew D FisherMichael D AprilBrit J LongKennedy S MdakiRonnie HillJames A BynumL T C Steven G SchauerPublished in: Military medicine (2022)
Changes in TCCC guidelines did not immediately translate into changes in prehospital fluid administration practices. Crystalloid fluids continue to dominate as the most commonly administered fluid even after the 2014 TCCC guidelines changed to use of blood products over crystalloids. There should be future studies to investigate the reasons for delay in guideline implementation and efforts to improve adherence.