Helicopter transport of non-traumatic cardiorespiratory arrest patients to tertiary care centers

Werman, Howard A.; Shaner, Steven; Falcone, Robert E.; Herron, Holly; Lacey, Patty; Childress, Susan; Scheiderer, Gwen

doi:10.1016/s1067-991x(96)90052-8

Cited by 1 publication

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“…La mortalidad inmediata define a aquellas muertes que ocurren en el momento del trauma hasta minutos posteriores. Se debe principalmente a lesiones incompatibles con la vida tales como decapitación, hemicorporectomía, aplastamiento, exanguinación, laceración de grandes vasos, desmembramiento, TEC grave, obstrucción de vía aé-rea, entre otros (5) . Las medidas destinadas a disminuir globalmente la mortalidad en este grupo solo corresponden a medidas preventivas, tales como, uso de cinturón de seguridad, uso de casco, airbags, conducción vehicular sin condición que altere la alerta (OH, drogas, hipoglicemia por fármacos, efectos de benzodiacepinas e inductores del sueño, uso de relajantes musculares, entre otros), uso de arnés, control de armas, etc.…”

Section: Introductionunclassified

Manejo inicial del politraumatizado

Cortés M.,

Acuña R.,

Álvarez M.

et al. 2014

Rev. Hosp. Clín. Univ. Chile (En línea)

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Trauma is today the first cause of death in young population; Motor vehicle crashes (MVC’s) are the main specific cause. The initial approach of the trauma patient takes place in the prehospital and hospital environment, following a systematic evaluation and priorizing some systems above others. Primary evaluation (with the classic sequence: ABCDE), sets intervention priorities that ultimately target a reduction in trauma early mortality. The in-corporation of ultrasonography in the evaluation of the trauma patient, has been fundamental in searching for injuries that may have been overlooked in the primary evaluation. Injuries that compromise ventilation may cause hypoxemia and hemodynamic instability. Early bleed control is the main therapeutic target in the trauma patient with active hemorrhage, which leads to reduction of early mortality and also prevents future complications. Fluid resuscitation is the main intervention to restore tissue perfusion. Also, the use of transfusional therapy, permissive hypotension and tranexamic acid must also be considered. Emergency Ultrasound is today a fundamental instrument in the initial trauma patient evaluation, because it greatly contributes to the evaluation of ventilatory derangement and hemodynamic instability causes. Finally, one must remember that trauma is a dynamic process, and therefore reevaluating is imperative, especially because findings of neurological deficit or deterioration in time, will ultimately conduct to the diagnose of injuries that cause brain hypoperfusion.

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Section: Introductionunclassified