Clinical impact of advanced trauma life support

Olden, G.D.J. van; Meeuwis, J. Dik; Bolhuis, Hugo W.; Boxma, H.; Goris, R.J.A.

doi:10.1016/j.ajem.2004.08.013

Cited by 162 publications

(84 citation statements)

References 5 publications

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“…Although a well-known phenomenon in clinical medicine, the pattern and extent of missed injuries vary depending on the setting and the time period under study (7, 18 -24). It is likely that the proportion of missed injuries has decreased over time, as a result of implementation of structured clinical assessment of trauma victims (25) and improved diagnostic procedures (26). Nevertheless, in a study on traumarelated deaths in an intensive care unit by Ong et al (14), new major diagnoses were found in 19% of the autopsies.…”

Section: Discussionmentioning

confidence: 99%

The impact of clinically undiagnosed injuries on survival estimates

Gedeborg

Thiblin

Byberg

et al. 2009

Critical Care Medicine

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Section: Discussionmentioning

confidence: 99%

The impact of clinically undiagnosed injuries on survival estimates

Gedeborg

Thiblin

Byberg

et al. 2009

Critical Care Medicine

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“…Despite the development of trauma resuscitation strategies and the implementation of algorithm guidelines such as Advanced Trauma Life Support 4 and Prehospital Trauma Life Support, 5 health care professionals still struggle against the physiological consequences of trauma.…”

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confidence: 99%

Permissive Hypotension in Bleeding Trauma Patients: Helpful or Not and When?

Gourgiotis

Gemenetzis

Kocher

et al. 2013

Critical Care Nurse

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T rauma remains the leading cause of mortality among persons 1 to 44 years old in the United States 1 and accounts for almost 9% of total mortality worldwide. 2 In 2008 a total of 663000 injury-related deaths occurred in Europe (6.9% of total deaths). 2 Uncontrolled bleeding and exsanguination are the leading cause of preventable death after trauma 3 and require early detection of potential bleeding sources and prompt action to minimize blood loss, restore tissue perfusion, and achieve a stable hemodynamic status. Permissive Hypotension in CNE Continuing Nursing EducationCover Severity of hemorrhage and rate of bleeding are fundamental factors in the outcomes of trauma. Intravenous administration of fluid is the basic treatment to maintain blood pressure until bleeding is controlled. The main guideline, used almost worldwide, Advanced Trauma Life Support, established by the American College of Surgeons in 1976, calls for aggressive administration of intravenous fluids, primarily crystalloid solutions. Several other guidelines, such as Prehospital Trauma Life Support, Trauma Evaluation and Management, and Advanced Trauma Operative Management, are applied according to a patient's current condition. However, the ideal strategy remains unclear. With permissive hypotension, also known as hypotensive resuscitation, fluid administration is less aggressive. The available models of permissive hypotension are based on hypotheses in hypovolemic physiology and restricted clinical trials in animals. Before these models can be used in patients, randomized, controlled clinical trials are necessary. (Critical Care Nurse. 2013;33[6]:18-25)

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“…A melhora na condução da hemorragia e implementação do ATLS® são grandes responsáveis pelas mudanças durante as últimas duas décadas. Van Olden et al 3 demonstrou que a introdução do programa ATLS® reduziu significativamente a mortalidade durante os primeiros 60 minutos depois da admissão do paciente e identificou um número significativamente menor de pacientes com inadequado tratamento depois que o treinamento ATLS® foi instituído. Meislin et al 4 reportou uma ditribuição bimodal da mortalidade com os picos acontecendo entre 60 minutos e 24-48h, respectivamente.…”

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Importância da reavaliação primária seriada na condução do politraumatizado – relato de caso e revisão da literatura

Coelho

Carbajo

Martins

et al. 2014

Rev. Med. (São Paulo)

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Rev Med (São Paulo). 2014 out.-dez.,93(4):159-64. 159Importância da reavaliação primária seriada na condução do politraumatizado -relato de caso e revisão da literaturaThe importance of the serial primary revaluation in the management of polytrauma -case report and literature review RESUMO:O estudo traz o relato de uma experiência de um paciente vítima de trauma carro versus bicicleta, que sofreu amputação traumática bilateral de membros inferiores. Para isso foram coletadas informações no banco de dados PubMed em 8 artigos, juntamente com informações da nova edição do livro ATLS®, além de informações do paciente, do atendimento pré hospitalar e hopitalar, conduta e evolução. No caso exposto foi realizada correta avaliação primária e sua reavalição seriada, permitindo precoce identificação das lesões e conduta terapêutica, com boa evolução do paciente pós operatório. Afirma-se que a implementação do protocolo ATLS® é grande responsável pela diminuição da mortalidade do paciente politraumatizado. A reavaliação seriada se mostrou imprescindível para detecção do sangramento do paciente, estabilização e tratamento definitivo. DESCRITORES:Cuidados de suporte avançado de vida no trauma; Amputação traumática; Reimplante; Choque hemorrágico; Vasos sanguíneos/lesões; Relatos de casos. ABSTRACT:The paper presentes the report of an accident patient of car x bicycle trauma who suffered traumatic amputation of the lower limbs. Therefore informations from eight articles of Pubmed database and new edition of ATLS book were collected, besides the preexisting informations from prehospital care, hospital care, conduct and evolution of the patient. The case described was carried out correct primary assessment and its serial reassessment, allowing early identification of lesions and therapeutic approach, with favorable postoperative patient. It is stated that the implementation of ATLS® protocol is largely responsible for the decrease in mortality of polytrauma patients. Serial reassessment proved to be indispensable for detection of patient bleeding, stabilization and final treatment.

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Clinical impact of advanced trauma life support

Cited by 162 publications

References 5 publications

The impact of clinically undiagnosed injuries on survival estimates

The impact of clinically undiagnosed injuries on survival estimates

Permissive Hypotension in Bleeding Trauma Patients: Helpful or Not and When?

Importância da reavaliação primária seriada na condução do politraumatizado – relato de caso e revisão da literatura

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