Blast injury: impact on brain and internal organs.

Autor:	Lesperance RN; Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, 1211 21st Avenue South, 404 Medical Arts Building, Nashville, TN 37212-1750, USA. Electronic address: richard.n.lesperance@vanderbilt.edu., Nunez TC; Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, 1211 21st Avenue South, 404 Medical Arts Building, Nashville, TN 37212-1750, USA; Department of Surgery, Tennessee Valley VA Medical Center, 1310 24th Avenue South, Nashville, TN 37212-1750, USA.
Jazyk:	angličtina
Zdroj:	Critical care nursing clinics of North America [Crit Care Nurs Clin North Am] 2015 Jun; Vol. 27 (2), pp. 277-87. Date of Electronic Publication: 2015 Mar 18.
DOI:	10.1016/j.cnc.2015.02.007
Abstrakt:	Blast trauma can kill or injure by multiple different mechanisms, not all of which may be obvious on initial presentation. Patients injured by blast effects should be treated as having multisystem trauma and managed according to Advanced Trauma Life Support guidelines. For the most severely injured patients, damage control resuscitation should be practiced until definitive hemorrhage control has been achieved. Patients with blast injuries may present in mass-casualty episodes that can overwhelm local resources. This article reviews some specific injuries, as well as the importance of mild traumatic brain injury. The importance of rehabilitation is discussed. (Published by Elsevier Inc.)
Databáze:	MEDLINE
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