Assessment and treatment of the trauma patient in shock

Emerg Med Clin North Am. 2014 Nov;32(4):777-95. doi: 10.1016/j.emc.2014.07.004. Epub 2014 Sep 16.

Abstract

High-volume crystalloid resuscitation is associated with increased length of stay, ICU and ventilator days, and organ failure and infection rates. Rapid evaluation of a hemodynamically unstable trauma patient is vital to diagnosis and treatment of the cause of shock. CT scanning should be used liberally in trauma patients to effect decreased mortality. Nonoperative management and catheter-based interventions are becoming the standard of care in appropriately selected patients with solid organ injuries.

Keywords: Nonoperative management; Shock; Solid organ injury; Trauma patient.

Publication types

  • Review

MeSH terms

  • Abdominal Injuries / complications
  • Abdominal Injuries / therapy
  • Critical Care
  • Emergency Service, Hospital
  • Kidney / injuries
  • Physical Examination
  • Resuscitation
  • Shock / diagnosis*
  • Shock / therapy*
  • Spleen / injuries
  • Tomography, X-Ray Computed