Control of Haemorrhage in Orthopaedic Trauma

被引:0
|
作者
Kenyon, Robert M. [1 ]
Leighton, Jennifer L. [2 ]
机构
[1] Dalhousie Univ, Halifax, NS B3H 4R2, Canada
[2] Dalhousie Univ, Dartmouth Gen Hosp, Dartmouth, NS B3H 4R2, Canada
关键词
orthopaedic; haemorrhage; trauma; FLUID RESUSCITATION STRATEGIES; VASCULAR OCCLUSIVE EVENTS; SEAT-BELT USE; TRANEXAMIC ACID; PELVIC FRACTURE; PREPERITONEAL PACKING; EASTERN ASSOCIATION; MASSIVE TRANSFUSION; UNSTABLE PATIENTS; GLOBAL BURDEN;
D O I
10.3390/jcm13144260
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This paper aims to outline current practices and examine promising new advancements in the modern management of haemorrhage in orthopaedic trauma. Many prehospital and perioperative haemorrhage control strategies and techniques have been available to clinicians for multiple decades, yet our understanding and utilisation of these practices continues to be refined and optimised. There is a particular focus in this article on issues related to resuscitation and coagulation in trauma. We examine the complex mechanisms that lead to coagulopathy in trauma patients as well as the transformative effect tranexamic acid has had in limiting blood loss. We also explore some emerging technologies such as endovascular interventions and clot-stabilising dressings and devices that are likely to have a significant impact going forward.
引用
收藏
页数:13
相关论文
共 50 条
  • [1] Haemorrhage control in pelvic trauma
    Clamp, Jonathan A.
    Moran, Christopher G.
    TRAUMA-ENGLAND, 2011, 13 (04): : 300 - 316
  • [2] Transfusion strategies for major haemorrhage in trauma
    Curry, Nicola S.
    Davenport, Ross
    BRITISH JOURNAL OF HAEMATOLOGY, 2019, 184 (04) : 508 - 523
  • [3] Factors contributing to death of major trauma victims with haemorrhage: A retrospective case-control study
    Carne, Brennan
    Raina, Aditya
    Bothara, Roshit
    McCombie, Andrew
    Fleischer, Dominic
    Joyce, Laura R.
    EMERGENCY MEDICINE AUSTRALASIA, 2023, 35 (06) : 968 - 975
  • [4] Characteristics of traumatic major haemorrhage in a tertiary trauma center
    van Wyk, Pieter
    Wannberg, Marcus
    Gustafsson, Anna
    Yan, Jane
    Wikman, Agneta
    Riddez, Louis
    Wahlgren, Carl-Magnus
    SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE, 2024, 32 (01):
  • [5] Haemorrhage control of the pre-hospital trauma patient
    Davenport R.
    Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 22 (Suppl 1) : 1 - 2
  • [6] The application of a haemorrhage assessment tool in evaluating control of bleeding in a pilot trauma haemorrhage trial
    Curry, N.
    Foley, C.
    Wong, H.
    Mora, A.
    Curnow, E.
    Zarankaite, A.
    Hodge, R.
    Hopkins, V.
    Deary, A.
    Ray, J.
    Moss, P.
    Reed, M. J.
    Kellett, S.
    Davenport, R.
    Stanworth, S.
    TRANSFUSION MEDICINE, 2019, 29 (06) : 454 - 459
  • [7] Process measure aimed at reducing time to haemorrhage control: outcomes associated with Code Crimson activation in exsanguinating truncal trauma
    Tovmassian, David
    Hameed, Ahmer M.
    Ly, Jessie
    Pathmanathan, Nimalan
    Devadas, Michael
    Gomez, David
    Hsu, Jeremy M.
    ANZ JOURNAL OF SURGERY, 2020, 90 (04) : 481 - 485
  • [8] Endovascular management of haemorrhage in pelvic trauma
    Tran, Steven
    Wilks, Mike
    Dawson, Joseph
    SURGERY IN PRACTICE AND SCIENCE, 2021, 6
  • [9] Use of activated recombinant FVII in the control of haemorrhage following trauma
    Perrier, V.
    Morel, N.
    Bernard, J. -C.
    Julliac, B.
    Dewitte, A.
    Pouquet, O.
    Sztark, F.
    Dabadie, P.
    ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION, 2006, 25 (09): : 990 - 993
  • [10] Characterisation of orthopaedic trauma admitted to adult Level 1 Trauma Centres
    Urquhart, DM
    Edwards, ER
    Graves, SE
    Williamson, OD
    McNeil, JJ
    Kossmann, T
    Richardson, MD
    Harrison, DJ
    Hart, MJ
    Cicuttini, FM
    INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2006, 37 (02): : 120 - 127