Airway management after major trauma

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ABC of major trauma. Management of the upper airway.

All severely injured patients have hypoxaemia in varying degrees. As soon as medical help arrives the first priority must be to ensure that the patient's airway is free and ventilation is unimpaired. Immediate administration of Indications for securing an airway supplementary oxygen to the unobstructed airway is of paramount with an endotracheal tube importance. Remember that in the first vital...

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Airway management in adults after cervical spine trauma.

Cervical spinal injury occurs in 2% of victims of blunt trauma; the incidence is increased if the Glasgow Coma Scale score is less than 8 or if there is a focal neurologic deficit. Immobilization of the spine after trauma is advocated as a standard of care. A three-view x-ray series supplemented with computed tomography imaging is an effective imaging strategy to rule out cervical spinal injury...

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Management of major trauma.

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[Coagulation management in major trauma].

In trauma associated coagulopathy, the initial treatment consists of hypothermia and acidosis have to be treated aggressively. Already in in the emergency room, fibrinogen deficiency can be detected frequently, in addition, colloids interfere with fibrin polymerisation. Under these aspects, the early administration of fibrinogen seems to be justified. Depleted coagulation factors can be substit...

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Coagulation management in major trauma

Bleeding is a common problem in major trauma. Coagulopathy could be detected in approximately 25% of all trauma patients on arrival in the emergency room. The reasons for that are blood loss, dilution of the remaining coagulation factors by fluids not containing coagulation factors, consumption of coagulation factors and hyperfibrinolysis. Hypothermia and acidosis are also well described contri...

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ژورنال

عنوان ژورنال: Continuing Education in Anaesthesia Critical Care & Pain

سال: 2006

ISSN: 1743-1816

DOI: 10.1093/bjaceaccp/mkl015