Bleeding in trauma: Current diagnostic and therapeutic approach
| Autor: | Karamarković Aleksandar R., Doklestić Krstina S., Bumbaširević Vesna, Detanac Dženana A., Detanac Džemail S., Bracanović Miloš |
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| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: | |
| Zdroj: | Sanamed, Vol 6, Iss 2, Pp 105-111 (2011) |
| Druh dokumentu: | article |
| ISSN: | 1452-662X 2217-8171 |
| Popis: | Recognising shock due to haemorrhage in trauma patients is about constructing a synthesis of trauma mechanism, injuries, vital signs and the therapeutic response of the patient. The treatment of bleeding patients who have exsanguinating injuries is aimed at two major goals: stopping the bleeding and restoration of the blood volume with correct coagulation. Abdominal ultrasound has replaced diagnostic peritoneal lavage for detection of haemoperitoneum. With the development of multi-sliding computer tomography, rapid evaluation by CT-scanning of the trauma patient is possible during resuscitation. The concept of damage control surgery with 'blind' transfusion or 'damage control resuscitation' in treatment of severe trauma, has proven to be of vital importance in the treatment of exsanguinating trauma patients and is adopted worldwide. Pharmacotherapeutic interventions may be a promising concept to limit blood loss after trauma. The role of thromboelastography as point-of-care test for coagulation in massive blood loss is emerging, providing information about actual clot formation and clot stability, shortly after the blood sample is taken. |
| Databáze: | Directory of Open Access Journals |
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