The debate on Hypotensive Resuscitation at Trauma Conference International features Dr. Kenneth Mattox and Dr. David Feliciano. Hypotensive Resuscitation is the use of fluids to increase systemic blood pressure. This is most commonly used to benefit trauma patients. Dr. Mattox argues against the use of resuscitation, and Dr. Feliciano argues that resuscitation should occasionally be used.
Dr. Mattox, a Distinguished Service Professor at Baylor College of Medicine, Chief of Staff and Surgeon-in-Chief at Ben Taub Hospital, begins the debate. Dr. Mattox is known for his efforts in innovating trauma care, and has been named one of the “Best Surgeons in America” five times. He argues that most of the time resuscitation adds time and complications to patients rather than being beneficial. He stresses that “not all fluids are created equal” and shares a case from 1992 involving a boy who loses both his arms who didn’t bleed out due to being in shock. This story suggests that resuscitation is not beneficial.
Dr. Feliciano, who received his medical degree from Georgetown university School of Medicine, graduating Cum Laude. ALPHA OMEGA ALPHA He has authored more than 580 publications. He argues that shock is bad for the body. Although resuscitation in the past has been used incorrectly there is a correct way to resuscitate with the new knowledge in the medical field. Dr. Feliciano calls out research against resuscitation for its faults and argues that this data shouldn’t be used to determine that resuscitation is not beneficial. He doesn’t argue that hypotensive resuscitation should always be used. Rather, he argues that there are certain situations in which it should be used, and other situations where it would hurt the patient. Hypotensive resuscitation, Dr. Feliciano argues, is something that should be used in only specific situations. He ends the debate stating that there isn’t enough knowledge in the field currently to make a definitive statement on whether or not hypotensive resuscitation should be used.
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