Prehospital resuscitation

Brito, Alexandra Marie Pawliuk; Schreiber, Martin A.

doi:10.1136/tsaco-2021-000729

Cited by 5 publications

(3 citation statements)

References 17 publications

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“…The volume and infusion speed of fluids administered prior to diagnostics is reduced, aiming for a period of permissive hypotension ( 43 ). Furthermore and following the rationale of prompt haemostatic resuscitation (administration of blood products), transfusion protocols during the transfer of bleeding trauma patients to the hospital have been introduced ( 44 , 45 ).…”

Section: Key Elements At the Prehospital Phasementioning

confidence: 99%

Severely injured patients: modern management strategies

et al. 2023

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Management of severely injured patients remains a challenge, characterised by a number of advances in clinical practice over the last decades. This evolution refers to all different phases of patient treatment from prehospital to the long-term rehabilitation of the survivors. The spectrum of injuries and their severity is quite extensive, which dictates a clear understanding of the existing nomenclature. What is defined nowadays as polytrauma or major trauma, together with other essential terms used in the orthopaedic trauma literature, is described in this instructional review. Furthermore, an analysis of contemporary management strategies (early total care (ETG), damage control orthopaedics (DCO), early appropriate care (EAC), safe definitive surgery (SDS), prompt individualised safe management (PRISM) and musculoskeletal temporary surgery (MuST)) advocated over the last two decades is presented. A focused description of new methods and techniques that have been introduced in clinical practice recently in all different phases of trauma management will also be presented. As the understanding of trauma pathophysiology and subsequently the clinical practice continuously evolves, as the means of scientific interaction and exchange of knowledge improves dramatically, observing different standards between different healthcare systems and geographic regions remains problematic. Positive impact on the survivorship rates and decrease in disability can only be achieved with teamwork training on technical and non-technical skills, as well as with efficient use of the available resources.

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Section: Key Elements At the Prehospital Phasementioning

confidence: 99%

Severely injured patients: modern management strategies

et al. 2023

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“…Australia's PH medical teams now provide improved trauma resuscitation capabilities for patients by combining hemorrhage control techniques, bedside diagnostic and ultrasound imaging tools, and blood product replacement. Early evidence suggests the PH provision of red cells, plasma, 12,13 fibrinogen concentrate, 14 antifibrinolytics, 15 and more recently, whole blood, 16 while minimizing crystalloid administration 10,12,17–19 have led to reductions in PH and in-hospital mortality, especially in blunt trauma patients 6,11 …”

mentioning

confidence: 99%

“…10,11 Australia's PH medical teams now provide improved trauma resuscitation capabilities for patients by combining hemorrhage control techniques, bedside diagnostic and ultrasound imaging tools, and blood product replacement. Early evidence suggests the PH provision of red cells, plasma, 12,13 fibrinogen concentrate, 14 antifibrinolytics, 15 and more recently, whole blood, 16 while minimizing crystalloid administration 10,12,[17][18][19] have led to reductions in PH and in-hospital mortality, especially in blunt trauma patients. 6,11 To facilitate ongoing and timely trauma care on arrival at hospital, including expeditious access to definitive hemorrhage control, such as the operating theater or interventional/hybrid suite, some systems have implemented designated protocols for PH recognition and notification of bleeding trauma patients, requiring timely transfer to intervention [20][21][22] and swift access to a massive transfusion in the hospital.…”

mentioning

confidence: 99%