Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-14_Monitoring and Stabilization of Trauma Patient

14_Monitoring and Stabilization of Trauma Patient

Pdf Summary

The document discusses the monitoring and stabilization of trauma patients, focusing on new approaches in trauma resuscitation. It emphasizes primary survey protocols including airway management, circulatory assessment, and life-saving procedures like intubation and chest tubes. The classification of hemorrhagic shock severity based on parameters like blood loss and vital signs is explained.<br /><br />A significant portion of the document explains the implementation and benefits of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) as an alternative to resuscitative thoracotomy for non-compressible truncal hemorrhage. The REBOA algorithm for hypotensive patients is also outlined.<br /><br />Other key topics covered include shock management, massive transfusion protocols, tranexamic acid (TXA) use, and the importance of early fracture stabilization in trauma patients. The concept of damage control resuscitation, focused assessment with sonography in trauma (eFAST), and the role of transthoracic focused rapid echocardiography in fluid status evaluation are also discussed.<br /><br />The document concludes with a summary of key points such as the ATLS approach, damage control surgery and resuscitation, the use of thromboelastography (TEG) and TXA, considerations related to the mechanism of injury, and orthopedic damage control. The importance of early intervention in trauma patients and thorough assessments to prevent missed injuries are highlighted throughout the document.

Keywords

trauma resuscitation

airway management

hemorrhagic shock

REBOA

shock management

massive transfusion

tranexamic acid

damage control resuscitation

eFAST

ATLS approach

	Society of Critical Care Medicine 500 Midway Drive Mount Prospect, IL 60056 USA Phone: +1 847 827-6888 Fax: +1 847 439-7226 Email: support@sccm.org	Contact Us About SCCM Newsroom Advertising & Sponsorship DONATE	MySCCM LearnICU Patients & Families Surviving Sepsis Campaign Critical Care Societies Collaborative	GET OUR NEWSLETTER
© Society of Critical Care Medicine. All rights reserved. \| Privacy Statement \| Terms & Conditions The Society of Critical Care Medicine, SCCM, and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.