Assessment and Resuscitation in Trauma Management. Surg Clin North Am 2017 Oct;97(5):985-998
Date
09/30/2017Pubmed ID
28958368DOI
10.1016/j.suc.2017.06.001Scopus ID
2-s2.0-85030790657 (requires institutional sign-in at Scopus site) 33 CitationsAbstract
The golden hour of trauma represents a crucial period in the management of acute injury. In an efficient trauma resuscitation, the primary survey is viewed as more than simple ABCs with multiple processes running in parallel. Resuscitation efforts should be goal oriented with defined endpoints for airway management, access, and hemodynamic parameters. In tandem with resuscitation, early identification of life-threatening injuries is critical for determining the disposition of patients when they leave the trauma bay. Salvage strategies for profoundly hypotensive or pulseless patients include retrograde balloon occlusion of the aorta and resuscitative thoracotomy, with differing populations benefiting from each.
Author List
Gondek S, Schroeder ME, Sarani BAuthor
Mary Elizabeth Schroeder MD Chief Medical Officer, Associate Professor in the Medical College Physicians Administration department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Balloon OcclusionHumans
Hypotension
Intubation, Intratracheal
Resuscitation
Thoracotomy
Triage
Wounds and Injuries
