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This article is part of a series on Taking Intensive Care outside the ICU, edited by Dr Emmanuel Rivers.

Review

Bench-to-bedside review: Resuscitation in the emergency department

Mohamed Y Rady email

Associate Professor of Critical Care Medicine, Mayo College of Medicine, Mayo Clinic Hospital, Phoenix, Arizona, USA

author email corresponding author email

Critical Care 2005, 9:170-176doi:10.1186/cc2986

Published: 20 October 2004

Abstract

Over the past decade the practice of acute resuscitation and its monitoring have undergone significant changes. Utilization of noninvasive mechanical ventilation, goal-directed therapy, restricted fluid volume, blood transfusion and minimally invasive technology for monitoring tissue oxygenation have changed the practice of acute resuscitation. Early diagnosis and definitive treatment of the underlying cause of shock remains the mainstay for survival after successful resuscitation. Patient-centered outcome end-points, in addition to survival, are being utilized to appraise the effectiveness of treatment. Application of medical ethics to the ever changing practice of acute resuscitation has also become a societal expectation.


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