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British Medical Bulletin 55:785-805 (1999)
© 1999 The British Council

research-article

Resuscitation after high energy polytrauma

Wendy Dollery and Peter Driscoll

Department of Emergency Medicine, Hope Hospital, Salford UK

Correspondence to Mr P Driscoll, Department of Emergency Medicine, Hope Hospital, Stott Lane, Salford M6 8HD, UK

Abstract

The majority of patients with polytrauma seen in the UK are victims of blunt injury. The trauma reception team approach, using a predetermined plan for initial assessment and urgent resuscitation, can improve outcome. It is important, therefore that each member of the team is familar wiht both their own role and that of their colleagues. This chapter reviews the importance of the ‘ABC’ approach. Optimal management of the trauma airway is essential and the benefits of early intubation and alternative techniques for securing the difficult airway are discussed. The early identification and management of life-threatening respiratory and circulatory complications is emphasised. Accurate assessment of shock in the victim of trauma is difficult, as the simple clinical indicators are not ideal. some of the techniques available for advanced polytrauma provides a considerable clinical challenge, and this chapter emphasises the importance of a team approach


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[Abstract] [Full Text] [PDF]


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