Assessment and Resuscitation in Trauma Management

作者：Gondek Stephen^*; Schroeder Mary E; Sarani Babak

来源：Surgical Clinics of North America, 2017, 97(5): 985-+.

DOI：10.1016/j.suc.2017.06.001

• Trauma assessment
• Resuscitation
• Primary survey
• Venous access
• Emergency airway
• Cavitary triage

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.

• 出版日期2017-10