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Emerg. Med. Clin. North Am. · Feb 2018
ReviewResuscitation Resequenced: A Rational Approach to Patients with Trauma in Shock.
- Andrew Petrosoniak and Christopher Hicks.
- Department of Emergency Medicine, St. Michael's Hospital, 1-008c Shuter Wing, 30 Bond street, Toronto, Ontario M5B 1W8, Canada. Electronic address: petro82@gmail.com.
- Emerg. Med. Clin. North Am. 2018 Feb 1; 36 (1): 41-60.
AbstractTrauma resuscitation is a complex and dynamic process that requires a high-performing team to optimize patient outcomes. More than 30 years ago, Advanced Trauma Life Support was developed to formalize and standardize trauma care; however, the sequential nature of the algorithm that is used can lead to ineffective prioritization. An improved understanding of shock mandates an updated approach to trauma resuscitation. This article proposes a resequenced approach that (1) addresses immediate threats to life and (2) targets strategies for the diagnosis and management of shock causes. This updated approach emphasizes evidence-based resuscitation principles that align with physiologic priorities.Copyright © 2017 Elsevier Inc. All rights reserved.
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