Risks in the Management of Polytrauma Patients: Clinical Insights.
abbreviated injury scale
early appropriate care
polytrauma
resuscitation
shock
trauma related coagulopathy
Journal
Orthopedic research and reviews
ISSN: 1179-1462
Titre abrégé: Orthop Res Rev
Pays: New Zealand
ID NLM: 101531415
Informations de publication
Date de publication:
2023
2023
Historique:
received:
19
06
2022
accepted:
16
03
2023
medline:
29
3
2023
entrez:
28
3
2023
pubmed:
29
3
2023
Statut:
epublish
Résumé
Polytrauma, a patient's condition with multiple injuries that involve multiple organs or systems, is the leading cause of mortality in young adults. Trauma-related injuries are a major public health concern due to their associated morbidity, high disability, associated death, and socioeconomic consequences. Management of polytrauma patients has evolved over the last few decades due to the development of trauma systems, improved pre-hospital assessment, transport and in-hospital care supported by complementary investigations. Recognising the mortality patterns in trauma has led to significant changes in the approach to managing these patients. A structured approach with application of advanced trauma life support (ATLS) algorithms and optimisation of care based on clinical and physiological parameters has led to the development of early appropriate care (EAC) guidelines to treat these patients, with subsequent improved outcomes in such patients. The journey of a polytrauma patient through the stages of pre-hospital care, emergency resuscitation, in-hospital stabilization and rehabilitation pathway can be associated with risks at any of these phases. We describe the various risks that can be anticipated during the management of polytrauma patients at different stages and provide clinical insights into early recognition and effective treatment of these to improve clinical outcomes.
Identifiants
pubmed: 36974036
doi: 10.2147/ORR.S340532
pii: 340532
pmc: PMC10039633
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
27-38Informations de copyright
© 2023 Iyengar et al.
Déclaration de conflit d'intérêts
Dr Madapura K Shashidhara is ACS and RCS England approved ATLS Director and Instructor. The authors report no conflicts of interest in this work.
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