Paciente con trauma severo / politrauma / fracturas expuestas o múltiples / herida amplia con sangrado activo
Palabras clave:
emergencia, triaje, Manchester I, atención primaria, politrauma
Resumen
Se realiza una actualización del manejo del paciente politraumatizado con énfasis en trauma abdominal, trauma de pelvis, y de las extremidades. Se presentan herramientas que evalúan la gravedad y pronóstico de pacientes, para priorizar los casos de mayor gravedad.
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Citas
1. Pape H, Lefering R, Butcher N, et al. Consensus paper: the definition of polytrauma revisited. An international consensus process and proposal of the new “Berlin definition”. Journal of Trauma and Acute Care Surgery. 2014;77(5):780-86
2. Chakraverty S, Zealley I, Kessel D. Damage control radiology in the severely injured patient: what the anaesthetist needs to know. Br J Anaesth 2014;113:250–7
3. Hunt P, Lecky F, Bouamra O. Whole body computed tomography scanning for severe blunt polytrauma: analysis of Trauma Audit and Research Network database 2005 to 2010. Crit Care 2012;16:P457
4. Tasker A, Hughes A, Kelly M. (i) Managing polytrauma: picking a way through the inflammatory cascade. Orthop Trauma 2014;28:127–36
5. Bates P., Parker P., Mcfadyen I., Pallister I., Pallister I. Demystifying damage control in musculoskeletal trauma n.d. doi:10.1308/rcsann.2016.0111.
6. Giannoudis P, Pape H. Damage control orthopaedics in unstable pelvic ring injuries. Injury 2004;35:671–7. d
7. Kragh J, Walters T, Baer D, et al. Survival with emergency tourniquet use to stop bleeding in major limb trauma. Ann Surg. 2009;249(1):1
8. Nichol JR, Nelson G. Femur Immobilization. [Updated 2022 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-
9. Johansen K, Daines M, Howey J. Objective criteria accurately predict amputation following lower extremity trauma. J Trauma. 1990;30:568-73.
10. American College of Surgeons Trauma Quality Improvement Program. Best pract Manage Orthop Trauma. 2015;1–38
2. Chakraverty S, Zealley I, Kessel D. Damage control radiology in the severely injured patient: what the anaesthetist needs to know. Br J Anaesth 2014;113:250–7
3. Hunt P, Lecky F, Bouamra O. Whole body computed tomography scanning for severe blunt polytrauma: analysis of Trauma Audit and Research Network database 2005 to 2010. Crit Care 2012;16:P457
4. Tasker A, Hughes A, Kelly M. (i) Managing polytrauma: picking a way through the inflammatory cascade. Orthop Trauma 2014;28:127–36
5. Bates P., Parker P., Mcfadyen I., Pallister I., Pallister I. Demystifying damage control in musculoskeletal trauma n.d. doi:10.1308/rcsann.2016.0111.
6. Giannoudis P, Pape H. Damage control orthopaedics in unstable pelvic ring injuries. Injury 2004;35:671–7. d
7. Kragh J, Walters T, Baer D, et al. Survival with emergency tourniquet use to stop bleeding in major limb trauma. Ann Surg. 2009;249(1):1
8. Nichol JR, Nelson G. Femur Immobilization. [Updated 2022 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-
9. Johansen K, Daines M, Howey J. Objective criteria accurately predict amputation following lower extremity trauma. J Trauma. 1990;30:568-73.
10. American College of Surgeons Trauma Quality Improvement Program. Best pract Manage Orthop Trauma. 2015;1–38
Publicado
2023-10-31
Cómo citar
1.
Gaus D. Paciente con trauma severo / politrauma / fracturas expuestas o múltiples / herida amplia con sangrado activo. PFR [Internet]. 31 de octubre de 2023 [citado 22 de diciembre de 2024];8(Suplemento). Disponible en: https://practicafamiliarrural.org/index.php/pfr/article/view/283
Sección
Artículos de revisión
Derechos de autor 2023 Práctica Familiar Rural
Esta obra está bajo licencia internacional Creative Commons Reconocimiento 4.0.
