Trauma
From Anvita Health Wiki
Contents |
More Specific Terms
- abdominal trauma
- accident
- accidental fall
- animal bite
- barotrauma
- burn
- contusion (bruise)
- corneal abrasion
- craniofacial trauma
- crush injury
- drowning
- ear trauma/injury
- electrical injury
- eye injury/trauma
- foreign body
- head injury (traumatic brain injury)
- ligament tear
- muscle strain/tear
- pelvic trauma
- renal trauma
- ruptured spleen
- shoulder trauma
- spine trauma
- sports injury
- sprain
- superficial injury/trauma
- tendon rupture
- thoracic (chest) trauma
- traumatic leg injury
- urogenital trauma
- vascular trauma/injury
- work-related injury
Introduction
- Wounds & injuries
Laboratory
- screening laboratory panels have low utility & are not cost effective [1]
Radiology
- screening radiographs have low utility & are not cost effective
Management
- a single systolic blood pressure reading <105 mm Hg predicts the need for immediate immediate operative or endovascular treatment & surgical intensive care unit admission [3]
- glucocorticoids
- may lower risk of ventilator-associated pneumonia [4]
- may increase risk of death after head trauma [5]
- criteria to withhold or terminate car
- blunt trauma with apnea, pulselessness, & no organized electrocardiogram activity
- penetrating trauma with the preceding clinical presentation & no other signs of life
- 15 minutes of cardiopulmonary resuscitation without return of spontaneous circulation
- EMS-witnessed traumatic cardiopulmonary arrest followed by 15 minutes of unsuccessful resuscitation en route to the emergency department [6]
More General Terms
Additional Terms
References
- Tasse JL et al. Screening laboratory and radiology panels for trauma patients have low utility and are not cost effective. J Trauma 2008 Nov; 65:1114. PMID: [1]
- Diagnosis and management of injury in the pregnant patient (Eastern Association for the Surgery of Trauma) [2]
- Seamon MJ et al. Just one drop: The significance of a single hypotensive blood pressure reading during trauma resuscitations. J Trauma 2010 Jun; 68:1289 PMID: [3]
- Roquilly A et al. Hydrocortisone therapy for patients with multiple trauma: The randomized controlled HYPOLYTE study. JAMA 2011 Mar 23/30; 305:1201. PMID: [4]
- Bulger EM, Cuschieri J. Steroids after severe injury: many unanswered questions. JAMA. 2011 Mar 23;305(12):1242-3. PMID: [5] - Roberts I et al. for the CRASH trial collaborators. Effect of intravenous corticosteroids on death within 14 days in 10008 adults with clinically significant head injury (MRC CRASH trial): Randomised placebo-controlled trial. Lancet 2004 Oct 9; 364:1321-8. PMID: [6]
- Mollberg NM et al. The consequences of noncompliance with guidelines for withholding or terminating resuscitation in traumatic cardiac arrest patients. J Trauma 2011 Oct; 71:997. PMID: [7]
- National Guideline Clearinghouse
- Pre-hospital initiation of fluid replacement therapy in trauma. National Institute for Health and Clinical Excellence ngc-guideline: [8]
- Guidelines for field triage of injured patients. Recommendations of the National Expert Panel on Field Triage. Centers for Disease Control and Prevention ngc-guideline: [9]
