Matches in SemOpenAlex for { <https://semopenalex.org/work/W2016336399> ?p ?o ?g. }
- W2016336399 endingPage "603" @default.
- W2016336399 startingPage "595" @default.
- W2016336399 abstract "Abstract Appropriate imaging is critical in the initial assessment of patients with severe trauma. Plain radiographs remain integral to the primary survey. Focused ultrasonography is useful for identifying intraperitoneal fluid likely to represent haemorrhage in patients who are shocked and also has a role in identifying intrathoracic pathology. Modern scanners permit a greater role for CT, being more rapid and exposing the patient to less ionising radiation. ‘Whole body’ (head to pelvis) CT scanning has been shown to identify injuries missed by ‘traditional’ focused assessment and may be associated with an improved outcome. CT identifies more spinal injuries than plain radiographs, is the gold standard for diagnosing blunt aortic injury and facilitates non-operative management of solid organ injury and other bleeding. Coagulopathy occurs early in trauma as a direct result of injury and hypoperfusion. Damage control resuscitation with blood components is associated with an improved outcome in patients with trauma with massive haemorrhage. Packed cells and fresh frozen plasma should be used in a 1:1 to 1:2 ratio. Bedside measures of coagulopathy may prove useful. Adjuvant early treatment with tranexamic acid is of benefit in reducing blood loss and reducing mortality. Limited ‘damage control surgery’ with early optimisation of physiology augmented by interventional radiology to control haemorrhage is preferable to early definitive care. Limiting haemorrhage by correction of anticoagulation and minimising secondary brain injury through optimal supportive care is critical to improving outcome in neurotrauma." @default.
- W2016336399 created "2016-06-24" @default.
- W2016336399 creator A5020984146 @default.
- W2016336399 creator A5034738543 @default.
- W2016336399 creator A5035925398 @default.
- W2016336399 creator A5048738726 @default.
- W2016336399 creator A5060046333 @default.
- W2016336399 creator A5078663698 @default.
- W2016336399 date "2012-07-21" @default.
- W2016336399 modified "2023-09-26" @default.
- W2016336399 title "Improving outcome in severe trauma: what's new in ABC? Imaging, bleeding and brain injury: Table 1" @default.
- W2016336399 cites W1583326716 @default.
- W2016336399 cites W1964149376 @default.
- W2016336399 cites W1966469613 @default.
- W2016336399 cites W1968057840 @default.
- W2016336399 cites W1970038083 @default.
- W2016336399 cites W1970757150 @default.
- W2016336399 cites W1971410089 @default.
- W2016336399 cites W1974693697 @default.
- W2016336399 cites W1975554781 @default.
- W2016336399 cites W1992034786 @default.
- W2016336399 cites W1994072646 @default.
- W2016336399 cites W1994155117 @default.
- W2016336399 cites W1995144165 @default.
- W2016336399 cites W1995787639 @default.
- W2016336399 cites W1997239507 @default.
- W2016336399 cites W2002228351 @default.
- W2016336399 cites W2005149724 @default.
- W2016336399 cites W2007852601 @default.
- W2016336399 cites W2008993812 @default.
- W2016336399 cites W2013699013 @default.
- W2016336399 cites W2014089982 @default.
- W2016336399 cites W2018173450 @default.
- W2016336399 cites W2018859358 @default.
- W2016336399 cites W2019121414 @default.
- W2016336399 cites W2022209348 @default.
- W2016336399 cites W2024231615 @default.
- W2016336399 cites W2024526916 @default.
- W2016336399 cites W2024596855 @default.
- W2016336399 cites W2031269878 @default.
- W2016336399 cites W2031680876 @default.
- W2016336399 cites W2032680743 @default.
- W2016336399 cites W2035239042 @default.
- W2016336399 cites W2036104374 @default.
- W2016336399 cites W2037738604 @default.
- W2016336399 cites W2038256564 @default.
- W2016336399 cites W2039813851 @default.
- W2016336399 cites W2040008327 @default.
- W2016336399 cites W2044607677 @default.
- W2016336399 cites W2046707595 @default.
- W2016336399 cites W2052001890 @default.
- W2016336399 cites W2052268816 @default.
- W2016336399 cites W2053521461 @default.
- W2016336399 cites W2054112932 @default.
- W2016336399 cites W2054458452 @default.
- W2016336399 cites W2055403303 @default.
- W2016336399 cites W2062727320 @default.
- W2016336399 cites W2065513205 @default.
- W2016336399 cites W2070959688 @default.
- W2016336399 cites W2071415780 @default.
- W2016336399 cites W2075424202 @default.
- W2016336399 cites W2076611593 @default.
- W2016336399 cites W2076857010 @default.
- W2016336399 cites W2079401056 @default.
- W2016336399 cites W2080169811 @default.
- W2016336399 cites W2084962044 @default.
- W2016336399 cites W2086594904 @default.
- W2016336399 cites W2086976505 @default.
- W2016336399 cites W2087737316 @default.
- W2016336399 cites W2090540067 @default.
- W2016336399 cites W2091522759 @default.
- W2016336399 cites W2091685079 @default.
- W2016336399 cites W2099121283 @default.
- W2016336399 cites W2103395907 @default.
- W2016336399 cites W2104226654 @default.
- W2016336399 cites W2105291826 @default.
- W2016336399 cites W2120736533 @default.
- W2016336399 cites W2122323045 @default.
- W2016336399 cites W2124324551 @default.
- W2016336399 cites W2128058924 @default.
- W2016336399 cites W2131577122 @default.
- W2016336399 cites W2132472275 @default.
- W2016336399 cites W2134762317 @default.
- W2016336399 cites W2137706047 @default.
- W2016336399 cites W2145268680 @default.
- W2016336399 cites W2145903696 @default.
- W2016336399 cites W2148669858 @default.
- W2016336399 cites W2151445602 @default.
- W2016336399 cites W2152120717 @default.
- W2016336399 cites W2152337893 @default.
- W2016336399 cites W2152956618 @default.
- W2016336399 cites W2153549888 @default.
- W2016336399 cites W2153851595 @default.
- W2016336399 cites W2154088059 @default.
- W2016336399 cites W2155301368 @default.
- W2016336399 cites W2161669266 @default.
- W2016336399 cites W2162249417 @default.
- W2016336399 cites W2165755420 @default.