Outcomes of traumatic hemorrhagic shock and the epidemiology of preventable death from injury

Abstract

The majority of potentially preventable deaths after trauma are related to hemorrhage and occur early after injury, with the largest number of deaths occurring before hospital arrival. Approximately one‐fourth of trauma deaths may be potentially preventable through early medical and surgical interventions. Interventions dedicated to bleeding control and hemostatic resuscitation have demonstrated merit in decreasing hemorrhagic injury mortality. Advancing these novel strategies to the casualty in the prehospital phase of care, particularly in tactical or austere environments, may prove beneficial for hemorrhage mitigation to temporize the window of survival to definitive care. Future studies of resuscitation and survival after traumatic injury must include analysis of prehospital deaths to fully understand the outcomes of early interventions.

Fortbildung von Allgemein- und Viszeralchirurgen in der lebensrettenden Notfallchirurgie

“…Hintergrund Die Schlüsselmanöver der lebensrettenden Notfallchirurgie sind primär die schnellst mögliche Blutstillung und sekundär die Kontrolle von Kontaminationen. Das letale Potenzial ist bei Blutungen in die Körperhöhlen, Thorax und Abdomen sowie an den Übergängen des Körperstamms zu den Extremitäten am höchsten [5]. Während sich äußerlich sichtbare Blutungen der Extremitäten durch die Anlage eines Tourniquets (temporär) stoppen lassen, ist die Versorgung von Blutungen in den Körperhöhlen oder an den stammnahen Übergängen zu den Extremitäten nur unter Klinikbedingungen zu erreichen.…”

Successful Damage Control Resuscitation with Resuscitative Endovascular Balloon Occlusion of the Aorta in a Pediatric Patient

“…Hemorrhage is the most substantive contributor to potentially preventable mortality from trauma [1]. The interval between injury and definitive control of the bleeding focus is critical in reducing the incidence of preventable death.…”

The Effects of Balloon Occlusion of the Aorta on Cerebral Blood Flow, Intracranial Pressure, and Brain Tissue Oxygen Tension in a Rodent Model of Penetrating Ballistic-Like Brain Injury

“…Traumatic hemorrhage is the leading cause of potentially preventable death in both civilian and military populations (1,2). Medical response to a traumatic event is limited by the lack of technology to control non-compressible hemorrhage which has prompted the development and implementation of resuscitative endovascular balloon occlusion of the aorta (REBOA) (3)(4)(5)(6)(7).…”