| Autor: |
Tetsuro Nishimura, Kenichiro Uchida, Masahiro Miyashita, Hiromasa Yamamoto, Yasumitsu Mizobata, Ryo Deguchi, Hoshi Himura, Hiroyuki Yoshitake, Akihiro Kawamoto, Yuki Saoyama |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
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| Zdroj: |
Trauma Surgery & Acute Care Open, Vol 8, Iss 1 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2397-5776 |
| DOI: |
10.1136/tsaco-2023-001153 |
| Popis: |
Objectives Severe pelvic fracture concomitant with massive bleeding is potentially lethal, and intervention for hemorrhage control still depends on institutional supplies. With the recent installation of a CT and C-arm combined resuscitation room system (CTCARM) for treatment of trauma patients in our institution, the strategic process and options for hemorrhage control after pelvic fracture have changed. We retrospectively reviewed the procedures we performed and their outcomes.Methods The CTCARM was installed in our trauma resuscitation room in April 2020. Patients who were diagnosed as having pelvic fracture and underwent interventional radiology for hemorrhage control within 2.5 hours after arrival were compared before and after CTCARM installation. We reviewed the time process for hemorrhage control, treatment options performed, blood products used and their outcomes.Results Included in this study were 56 patients treated between 2016 and 2022, of whom 36 patients were treated before (original group) and 20 patients after CTCARM installation (CTCARM group). Patient characteristics and vital signs at admission were not statistically different. Preperitoneal pelvic packing was performed significantly more frequently in the original group (p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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