منابع مشابه
Management of major trauma.
201 (one myocardial infarction; one atrial fibrillation). At four hours postadmission, 14 more patients tested positive (13 myocardial infarction and one angina). At 12 hours postadmission, a further seven patients tested positive (five myocardial in-farction and two angina). Of the 19 patients diagnosed as myocardial in-farction, a positive troponin T was only present in one patient on admissi...
متن کامل[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...
متن کاملCoagulation 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...
متن کاملABC 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...
متن کاملABC of major trauma. Management of hypovolaemic shock.
Class II Class IlIl Hypovolaemic shock is a clinical state in which tissue perfusion is rendered relatively inadequate by loss of blood or plasma after injury to the vascular tree. A reduction in blood volume produces a fall in systolic pressure, which triggers a sympathetic catecholamine response that results in peripheral vasoconstriction, a rise in pulse rate, and a reduction in pulse pressu...
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ژورنال
عنوان ژورنال: British Journal of Anaesthesia
سال: 1990
ISSN: 0007-0912
DOI: 10.1093/bja/65.6.839-b