Trauma during pregnancy

Emergency management strategy for pregnant head trauma victims – Case reports and review of literatures

“…relative hemodilution and hypervolemic state (compensating 40% of blood volume), hypercoagulable state, physiological hyperventilation (raised tidal volume, normal respiratory rate, and respiratory alkalosis), and increased incidence of nausea, vomiting, and aspiration (secondary to mechanical and hormonal effects), must be considered before initial assessment. 5 The initial assessment of consists of thorough evaluation, stabilization, and resuscitated in left lateral position to prevent supine hypotension syndrome. 5 It is recommended that a Glasgow Coma Scale (GCS) 8 needs intubation and mechanical ventilation or both for both airway control and control of ICP.…”

“…5 The initial assessment of consists of thorough evaluation, stabilization, and resuscitated in left lateral position to prevent supine hypotension syndrome. 5 It is recommended that a Glasgow Coma Scale (GCS) 8 needs intubation and mechanical ventilation or both for both airway control and control of ICP. 5,6 Maternal health proceeds over that of the fetus and is of primary concern unless vital signs cannot be maintained in the mother.…”

“…5 It is recommended that a Glasgow Coma Scale (GCS) 8 needs intubation and mechanical ventilation or both for both airway control and control of ICP. 5,6 Maternal health proceeds over that of the fetus and is of primary concern unless vital signs cannot be maintained in the mother. Maintenance of euvolemic status by early transfusion of blood components rather than crystalloids is the current recommendation.…”

“…TBI with suspicious integrity of the cervical spine, direct laryngoscopy should be avoided, instead awake fiberoptic intubation to be considered. 5 The goals consist of maintenance of SBP at 80e100 mmHg, hematocrit at 25%e36%, TPC >50,000/cu mm, normal serum calcium, core body temperature >35 C, avoiding rise in serum lactate level and metabolic acidosis and adequate analgesia. 5 Monitoring the mother for overt signs of shock is notoriously unreliable as an indicator of fetal well being.…”

“…4 Successful management always needs multidisciplinary approach involving neurosurgeon, anesthesiologist and the obstetrician. 5 Management consists of in the sequence of hemodynamic stabilization of the mother, detailed neurological assessment, then the secondary survey considering the fetal evaluation and the extent of uterine injury. (Fig.…”