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Article: Evolving frontiers in severe polytrauma management: refining the essential principles

TitleEvolving frontiers in severe polytrauma management: refining the essential principles
Authors
KeywordsDamage control resuscitation
Difficult airway mangement
Peritoneal pelvic packing
Artificial embolism
Multidetector computed tomography
Issue Date2013
PublisherUniversiti Sains Malaysia, School of Medical Sciences. The Journal's web site is located at http://www.bioline.org.br/mj
Citation
Malaysian Journal of Medical Sciences, 2013, v. 20 n. 1, p. 1-12 How to Cite?
AbstractThis editorial aims to refine the severe polytrauma management principles. While keeping ABCDE priorities, the termination of futile resuscitation and the early use of tourniquet to stop exsanguinating limb bleeding are crucial. Difficult-airway-management (DAM) is by a structured 5-level approach. The computerised tomography (CT) scanner is the tunnel to death for hemodynamically unstable patients. Focused Abdominal Sonography for Trauma-Ultrasonography (FAST USG) has replaced diagnostic peritoneal lavage (DPL) and is expanding to USG life support. Direct whole-body multidetector-row computed tomography (MDCT) expedites diagnosis & treatment. Non-operative management is a viable option in rapid responders in shock. Damage control resuscitation comprising of permissive hypotension, hemostatic resuscitation & damage control surgery (DCS) help prevent the lethal triad of trauma. Massive transfusion protocol reduces mortality and decreases the blood requirement. DCS attains rapid correction of the deranged physiology. Mortality reduction in major pelvic disruption requires a multi-disciplinary protocol, the novel pre-peritoneal pelvic packing and the angio-embolization. When operation is the definitive treatment for injury, prevention is best therapy. © Penerbit Universiti Sains Malaysia, 2013.
Persistent Identifierhttp://hdl.handle.net/10722/181662
ISSN
2015 SCImago Journal Rankings: 0.252
PubMed Central ID

 

DC FieldValueLanguage
dc.contributor.authorKam, CWen_US
dc.contributor.authorChoi, WMen_US
dc.contributor.authorWong, JYHen_US
dc.contributor.authorLai, Ven_US
dc.contributor.authorWong, KSJen_US
dc.date.accessioned2013-03-19T03:52:40Z-
dc.date.available2013-03-19T03:52:40Z-
dc.date.issued2013en_US
dc.identifier.citationMalaysian Journal of Medical Sciences, 2013, v. 20 n. 1, p. 1-12en_US
dc.identifier.issn1394-195X-
dc.identifier.urihttp://hdl.handle.net/10722/181662-
dc.description.abstractThis editorial aims to refine the severe polytrauma management principles. While keeping ABCDE priorities, the termination of futile resuscitation and the early use of tourniquet to stop exsanguinating limb bleeding are crucial. Difficult-airway-management (DAM) is by a structured 5-level approach. The computerised tomography (CT) scanner is the tunnel to death for hemodynamically unstable patients. Focused Abdominal Sonography for Trauma-Ultrasonography (FAST USG) has replaced diagnostic peritoneal lavage (DPL) and is expanding to USG life support. Direct whole-body multidetector-row computed tomography (MDCT) expedites diagnosis & treatment. Non-operative management is a viable option in rapid responders in shock. Damage control resuscitation comprising of permissive hypotension, hemostatic resuscitation & damage control surgery (DCS) help prevent the lethal triad of trauma. Massive transfusion protocol reduces mortality and decreases the blood requirement. DCS attains rapid correction of the deranged physiology. Mortality reduction in major pelvic disruption requires a multi-disciplinary protocol, the novel pre-peritoneal pelvic packing and the angio-embolization. When operation is the definitive treatment for injury, prevention is best therapy. © Penerbit Universiti Sains Malaysia, 2013.-
dc.languageengen_US
dc.publisherUniversiti Sains Malaysia, School of Medical Sciences. The Journal's web site is located at http://www.bioline.org.br/mj-
dc.relation.ispartofMalaysian Journal of Medical Sciencesen_US
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectDamage control resuscitation-
dc.subjectDifficult airway mangement-
dc.subjectPeritoneal pelvic packing-
dc.subjectArtificial embolism-
dc.subjectMultidetector computed tomography-
dc.titleEvolving frontiers in severe polytrauma management: refining the essential principlesen_US
dc.typeArticleen_US
dc.identifier.emailChoi, WM: annachoi@socwork.hku.hken_US
dc.identifier.emailWong, JYH: janetyh@hku.hken_US
dc.identifier.emailLai, V: laiv@hku.hk-
dc.identifier.authorityChoi, WM=rp01625en_US
dc.identifier.authorityWong, JYH=rp01561en_US
dc.description.naturepublished_or_final_version-
dc.identifier.pmid23785252-
dc.identifier.pmcidPMC3685221-
dc.identifier.scopuseid_2-s2.0-84872048211-
dc.identifier.hkuros213508en_US
dc.identifier.hkuros233447-
dc.identifier.volume20en_US
dc.identifier.issue1-
dc.identifier.spage1en_US
dc.identifier.epage12en_US
dc.publisher.placeMalaysia-
dc.customcontrol.immutablejt 130523-

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