The treatment of traumatic shock: recent advances and unresolved questions
Uncontrolled bleeding remains a leading cause of potentially preventable death after trauma. Timely, adequate resuscitation in traumatic shock is an essential, lifesaving aspect of polytrauma care. Whilst basic principles in the treatment of traumatic shock remain the same—achieving hemorrhage contr...
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| Veröffentlicht in: | European journal of trauma and emergency surgery (Munich : 2007) 2011-12, Vol.37 (6), p.567-575 |
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| container_title | European journal of trauma and emergency surgery (Munich : 2007) |
| container_volume | 37 |
| creator | Sisak, K. Dewar, D. Butcher, N. King, K. Evans, J. Miller, M. Yoshino, O. Harrigan, P. Bendinelli, C. Balogh, Z. J. |
| description | Uncontrolled bleeding remains a leading cause of potentially preventable death after trauma. Timely, adequate resuscitation in traumatic shock is an essential, lifesaving aspect of polytrauma care. Whilst basic principles in the treatment of traumatic shock remain the same—achieving hemorrhage control and replacing lost volume, the way this is achieved has changed significantly in the last five years. The abandonment of blood pressure driven uncontrolled fluid resuscitation, the introduction of the concept of hemostatic resuscitation, and the increasing use of massive transfusion protocols have all contributed to an improvement in timely access to various blood products. The increase in knowledge regarding the pathophysiology of trauma, the availability of adjuncts, and the array of resuscitation monitoring options available have all contributed to a potentially improved approach to resuscitation. The purpose of this report is to review the most important advances in traumatic shock therapy in the last five years. |
| doi_str_mv | 10.1007/s00068-011-0150-1 |
| format | Article |
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J.</creatorcontrib><title>The treatment of traumatic shock: recent advances and unresolved questions</title><title>European journal of trauma and emergency surgery (Munich : 2007)</title><addtitle>Eur J Trauma Emerg Surg</addtitle><addtitle>Eur J Trauma Emerg Surg</addtitle><description>Uncontrolled bleeding remains a leading cause of potentially preventable death after trauma. Timely, adequate resuscitation in traumatic shock is an essential, lifesaving aspect of polytrauma care. Whilst basic principles in the treatment of traumatic shock remain the same—achieving hemorrhage control and replacing lost volume, the way this is achieved has changed significantly in the last five years. The abandonment of blood pressure driven uncontrolled fluid resuscitation, the introduction of the concept of hemostatic resuscitation, and the increasing use of massive transfusion protocols have all contributed to an improvement in timely access to various blood products. 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| subjects | Blood transfusions Cardiopulmonary resuscitation CPR Critical Care Medicine Emergency Medicine Hemorrhage Injuries Intensive Medicine Medicine & Public Health Review Article Sports Medicine Surgery Surgical Orthopedics Trauma care Traumatic Surgery |
| title | The treatment of traumatic shock: recent advances and unresolved questions |
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