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
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