Battlefield resuscitation

被引:39
|
作者
Dawes, Rob [1 ]
Thomas, G. O. Rhys [1 ]
机构
[1] RAMC, Sevenoaks TN15 0HT, Kent, England
关键词
algorithm; damage control resuscitation; massive transfusion; trauma; FRESH WHOLE-BLOOD; DAMAGE CONTROL RESUSCITATION; RAPID-SEQUENCE INTUBATION; RECOMBINANT-FACTOR-VIIA; IMPROVED SURVIVAL; CRITICALLY-ILL; IONIZED HYPOCALCEMIA; MASSIVE TRANSFUSION; TRACHEAL INTUBATION; TRAUMA PATIENTS;
D O I
10.1097/MCC.0b013e32833190c3
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Purpose of review To bring together in one review article, the most current and relevant evidence relating to military trauma resuscitation. Recent findings The main themes highlighted by this review are coagulopathy of trauma shock (COTS), damage control resuscitation, haemostatic resuscitation, the management of massive transfusion, use of adjuvant drugs for haemostasis and use of an empiric massive transfusion protocol. Summary The review aims to educate the readership in recent advances in trauma practice, culminating in a novel empiric massive transfusion algorithm seamlessly guiding the clinician through the initial resuscitation stage resulting in reduced mortality, morbidity, coagulopathy and decreased overall blood product usage.
引用
收藏
页码:527 / 535
页数:9
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