Initial Management of the Traumatized Patient in the Emergency Department
DOI:
https://doi.org/10.52428/20756208.v18i45.1039Keywords:
Paciente traumatizado, Emergencias, Vía aéreaAbstract
Knowledge of how to handle a trauma patient becomes a mandatory requirement for all health personnel working in an emergency department. An example of this is that this type of event is the leading cause of death in young adults in the United States, accounting for 10% of all deaths (1). Most of these fatalities occur at the scene of the accident or within the first 4 hours after going to an emergency room (2). The Injuries Presented. They can vary in direct relation to the mechanism of the trauma.
Downloads
References
Mattox KL, Ernest Eugene Moore, Feliciano DV. Trauma. New York: Mcgraw-Hill Medical; 2008.
Demetriades D, Murray J, Charalambides K, Alo K, Velmahos G, Rhee P, et al. Trauma fatalities. Journal of the American College of Surgeons. 2004 Jan;198(1):20-6. DOI: 10.1016/j.jamcollsurg.2003.09.003
https://doi.org/10.1016/j.jamcollsurg.2003.09.003 DOI: https://doi.org/10.1016/j.jamcollsurg.2003.09.003
American College Of Surgeons. Advanced trauma life support : student course manual. 10th ed. Chicago, Il: American College Of Surgeons; 2018.
Sagarin MJ, Barton ED, Chng YM, Walls RM. Airway Management by US and Canadian Emergency Medicine Residents: A Multicenter Analysis of More Than 6,000 Endotracheal Intubation Attempts. Annals of Emergency Medicine. 2005 Oct;46(4):328-36.DOI: 10.1016/j.annemergmed.2005.01.009
https://doi.org/10.1016/j.annemergmed.2005.01.009 DOI: https://doi.org/10.1016/j.annemergmed.2005.01.009
Aho JM, Thiels CA, El Khatib MM, Ubl DS, Laan DV, Berns KS, et al. Needle thoracostomy. Journal of Trauma and Acute Care Surgery [Internet]. 2016 Feb;80(2):272-7. Disponible en: https://dx.doi.org/10.1097%2FTA.0000000000000889
https://doi.org/10.1097/TA.0000000000000889 DOI: https://doi.org/10.1097/TA.0000000000000889
Kirkpatrick AW, Ball CG, D'Amours SK, Zygun D. Acute resuscitation of the unstable adult trauma patient: bedside diagnosis and therapy. Can J Surg. 2008 Feb;51(1):57-69. Disponible en: PMID: 18248707; PMCID: PMC2386316.
Cannon CM, Braxton CC, Kling-Smith M, Mahnken JD, Carlton E, Moncure M. Utility of the Shock Index in Predicting Mortality in Traumatically Injured Patients. The Journal of Trauma: Injury, Infection, and Critical Care. 2009 Dec;67(6):1426-30. DOI: 10.1097/TA.0b013e3181bbf728
https://doi.org/10.1097/TA.0b013e3181bbf728 DOI: https://doi.org/10.1097/TA.0b013e3181bbf728
Boone M, Oren-Grinberg A, Robinson T, Chen C, Kasper E. Mannitol or hypertonic saline in the setting of traumatic brain injury: What have we learned? Surgical Neurology International. 2015;6(1):177. DOI: 10.4103/2152-7806.170248
https://doi.org/10.4103/2152-7806.170248 DOI: https://doi.org/10.4103/2152-7806.170248
The CRASH-3 trial collaborators. Effects of tranexamic acid on death, disability, vascular occlusive events and other morbidities in patients with acute traumatic brain injury (CRASH-3): a randomised, placebo-controlled trial. The Lancet [Internet]. 2019 Oct;394(10210). Disponible en: DOI: 10.1016/S0140-6736(19)32233-0
https://doi.org/10.1016/S0140-6736(19)32233-0 DOI: https://doi.org/10.1016/S0140-6736(19)32233-0
Hess JR, Brohi K, Dutton RP, Hauser CJ, Holcomb JB, Kluger Y, et al. The Coagulopathy of Trauma: A Review of Mechanisms. The Journal of Trauma: Injury, Infection, and Critical Care. 2008 Oct;65(4):748-54. DOI: 10.1097/TA.0b013e3181877a9c
https://doi.org/10.1097/TA.0b013e3181877a9c DOI: https://doi.org/10.1097/TA.0b013e3181877a9c
Kirkpatrick AW, Sirois M, Laupland KB, Liu D, Rowan K, Ball CG, et al. Hand-Held Thoracic Sonography for Detecting Post-Traumatic Pneumothoraces: The Extended Focused Assessment With Sonography For Trauma (EFAST). The Journal of Trauma: Injury, Infection, and Critical Care. 2004 Aug;57(2):288-95. DOI: 10.1097/01.ta.0000133565.88871.e4
https://doi.org/10.1097/01.TA.0000133565.88871.E4 DOI: https://doi.org/10.1097/01.TA.0000133565.88871.E4
Husain FA, Martin MJ, Mullenix PS, Steele SR, Elliott DC. Serum lactate and base deficit as predictors of mortality and morbidity. The American Journal of Surgery. 2003 May;185(5):485-91. DOI: 10.1016/s0002-9610(03)00044-8
https://doi.org/10.1016/S0002-9610(03)00044-8 DOI: https://doi.org/10.1016/S0002-9610(03)00044-8
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Eduardo Saadi Neto, Aliss Sabath
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License 4.0 that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.