Control of Haemorrhage in Orthopaedic Trauma

被引:0
|
作者
Kenyon, Robert M. [1 ]
Leighton, Jennifer L. [2 ]
机构
[1] Dalhousie Univ, Halifax, NS B3H 4R2, Canada
[2] Dalhousie Univ, Dartmouth Gen Hosp, Dartmouth, NS B3H 4R2, Canada
关键词
orthopaedic; haemorrhage; trauma; FLUID RESUSCITATION STRATEGIES; VASCULAR OCCLUSIVE EVENTS; SEAT-BELT USE; TRANEXAMIC ACID; PELVIC FRACTURE; PREPERITONEAL PACKING; EASTERN ASSOCIATION; MASSIVE TRANSFUSION; UNSTABLE PATIENTS; GLOBAL BURDEN;
D O I
10.3390/jcm13144260
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This paper aims to outline current practices and examine promising new advancements in the modern management of haemorrhage in orthopaedic trauma. Many prehospital and perioperative haemorrhage control strategies and techniques have been available to clinicians for multiple decades, yet our understanding and utilisation of these practices continues to be refined and optimised. There is a particular focus in this article on issues related to resuscitation and coagulation in trauma. We examine the complex mechanisms that lead to coagulopathy in trauma patients as well as the transformative effect tranexamic acid has had in limiting blood loss. We also explore some emerging technologies such as endovascular interventions and clot-stabilising dressings and devices that are likely to have a significant impact going forward.
引用
收藏
页数:13
相关论文
共 50 条
  • [31] BURN MANAGEMENT IN ORTHOPAEDIC TRAUMA
    AlQahtani, Saad M.
    Alzahrani, Mohammad M.
    Carli, Alberto
    Harvey, Edward J.
    JBJS REVIEWS, 2014, 2 (10)
  • [32] Resident education in orthopaedic trauma
    Nousiainen, M. T.
    McQueen, S. A.
    Hall, J.
    Kraemer, W.
    Ferguson, P.
    Marsh, J. L.
    Reznick, R. R.
    Reed, M. R.
    Sonnadara, R.
    BONE & JOINT JOURNAL, 2016, 98B (10): : 1320 - 1325
  • [33] Teaching in orthopaedic and trauma surgery
    Renkawitz, T.
    Benditz, A.
    Ruesseler, M.
    Obertacke, U.
    Grifka, J.
    Weber, M.
    ORTHOPADE, 2017, 46 (11): : 969 - 978
  • [34] Orthopaedic trauma in the obese patient
    Chesser, T. J. S.
    Hammett, R. B.
    Norton, S. A.
    INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2010, 41 (03): : 247 - 252
  • [35] A DCT on a trauma and orthopaedic ward
    Loh, Melissa
    Lyengar, K.
    Loh, W. Y. C.
    BRITISH DENTAL JOURNAL, 2020, 228 (11) : 827 - 827
  • [36] Trauma and orthopaedic surgery on the Internet
    Sherry, E
    JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1999, 81B (03): : 558 - 558
  • [37] Venous Thromboembolism in Orthopaedic Trauma
    Scolaro, John A.
    Taylor, Ryan Metri
    Wigner, Nathan A.
    JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2015, 23 (01) : 1 - 6
  • [38] Orthopaedic and trauma surgery in Malawi
    Mannion, S
    INTERNATIONAL ORTHOPAEDICS, 2003, 27 (02) : B8 - B9
  • [39] Fibrinogen replacement in trauma haemorrhage
    Curry N.
    Rourke C.
    Davenport R.
    Stanworth S.
    Brohi K.
    Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 22 (Suppl 1) : 1 - 2
  • [40] Guidelines for orthopaedic trauma fellowships
    Born, CT
    JOURNAL OF ORTHOPAEDIC TRAUMA, 1999, 13 (06) : 437 - 440