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Image-based Resuscitation in Trauma

Dr Ferrada is Associate Professor of Surgery at Virginia Commonwealth University School of Medicine. She is also the director of the Surgical Critical Care Fellowship Program and Medical Director of the Surgical & Trauma Intensive Care Unit (STICU) for the VCU Health System. She is a member of numerous professional organizations including the American Association for the Surgery of Trauma (AAST), Eastern Association for the Surgery of Trauma, the PanAmerican Trauma Society, and the Association of Women Surgeons Dr. Ferrada asks, when it comes to hypotension, should we be giving patients fluids at all? Should we be giving them anything? She explains a different approach, which is using an echocardiography in the intensive care unit to assess patients. This method allows the surgeons to look at the IVC and to allow for surgeons to dynamically asses their patients while looking at both sides of the heart. Echocardiographs are less complicated, faster, and more available than the resources needed for fluid resuscitation. This method also brings care to places in need for this kind of patient care because it is easy to use and not as expensive. Dr. Ferrada explains it is “so easy any trauma attending can do it”. By using less fluids patients are able to recover faster and survival rates are able to increase.