| Trauma systems, shock, and resuscitation. | |
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MedLine Citation:
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PMID: 7584006 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This review of early care covers issues pertaining to the analysis of system function, prehospital intravascular volume replacement, diagnosis of proximity vascular injury, the role of emergency thoracotomy, and the value of transesophageal echocardiography. The first six articles deal with various aspects of system function, from triage to analysis of outcome. The next series of articles reviews work in progress evaluating optimal fluid for resuscitation. Hypertonic saline and dextran combinations have been shown to restore vital signs better than isotonic solutions; they are safe, require smaller volumes, and may improve head injury outcome. Danger lies in the restoration of perfusion without hemorrhage control. Two articles on emergency thoracotomy review the indications and outcome in blunt and penetrating trauma. Survival in blunt trauma is virtually zero. An article and two editorials summarize state of the art for diagnosis and treatment of proximity vascular injury. Two articles describe the potential use of the new technique of transesophageal echocardiography. This new modality has not formed a solid indication at present and can be considered investigational in trauma care. |
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Authors:
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W F Fallon |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Current opinion in general surgery Volume: - ISSN: 1065-6243 ISO Abbreviation: Curr Opin Gen Surg Publication Date: 1993 |
Date Detail:
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Created Date: 1995-12-18 Completed Date: 1995-12-18 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 9314670 Medline TA: Curr Opin Gen Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 40-5 Citation Subset: IM |
Affiliation:
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University of Florida Health Science Center, Jacksonville, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Critical Care Echocardiography, Transesophageal / instrumentation First Aid* Fluid Therapy / instrumentation Homeostasis / physiology Humans Resuscitation* / instrumentation Shock, Hemorrhagic / mortality, physiopathology, therapy Survival Rate Thoracotomy / instrumentation Wounds and Injuries / mortality, physiopathology, therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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