What's new for trauma haemorrhage management?
| Autor: | Anthony Thaventhiran, Ross Davenport, Paul Vulliamy |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Suspended animation Resuscitation Hemorrhage 030204 cardiovascular system & hematology Haemorrhage control 03 medical and health sciences 0302 clinical medicine Intervention (counseling) medicine Humans Blood Transfusion Intensive care medicine Hemostatic Techniques business.industry 030208 emergency & critical care medicine General Medicine Haemostatic function Blood Coagulation Disorders Tourniquets Antifibrinolytic Agents Tranexamic Acid Radiological weapon Hospital admission Wounds and Injuries Hypotension business Tranexamic acid medicine.drug |
| Zdroj: | British Journal of Hospital Medicine. 80:268-273 |
| ISSN: | 1759-7390 1750-8460 |
| DOI: | 10.12968/hmed.2019.80.5.268 |
| Popis: | Uncontrolled haemorrhage is the leading cause of preventable death from injury and is a major contributor to the global burden of disease. The majority of deaths resulting from bleeding occur within the first 3 hours of hospital admission, and the window for meaningful intervention is therefore extremely small. Resuscitative efforts during active bleeding should focus on maintaining haemostatic function with blood product transfusion and early administration of tranexamic acid. Achieving control of haemorrhage is the overarching treatment priority and may require temporising measures before definitive surgical or radiological intervention. This review summarizes the contemporary approaches to resuscitation of bleeding trauma patients, options for achieving haemorrhage control, and current areas of active research including organ protective resuscitation and suspended animation. |
| Databáze: | OpenAIRE |
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