Advances in Trauma, An Issue of Critical Care Clinics, 1e: Volume 33-1

Description:

Guest editor Lena Napolitano has assembled an expert team of authors on the topic of Trauma in the ICU. Articles will focus on: Non-compressible Torso Hemorrhage; Prediction of Massive Transfusion in Trauma; Coagulopathy of Trauma; Viscoelastic testing and Hyperfibrinolysis in Trauma; Tranexamic Update in Trauma; Optimal Reversal of Novel Anticoagulants in Trauma; Optimal Transfusion for Traumatic Hemorrhagic Shock; and more

Table of Contents:

Forthcoming Issues

Preface

Traumatic Brain Injury Advances

Key points

Introduction

Pharmacologic therapy

Other pharmacologic therapy

Nonpharmacologic therapy

Surgical treatment options

Intracranial pressure monitoring

Updated brain trauma foundation guidelines severe TBI

Treatment complications

Evaluation of outcome and long-term recommendations

Summary

Optimal Fluid Therapy for Traumatic Hemorrhagic Shock

Key points

Introduction

Patient evaluation overview

Pharmacologic treatment options

Treatment resistance and complications

Summary

Noncompressible Torso Hemorrhage

Key points

Introduction

Definition of noncompressible torso hemorrhage

Epidemiology of noncompressible torso hemorrhage

Setting, resource, and institutional considerations

Investigations in noncompressible torso hemorrhage

Resuscitation in noncompressible torso hemorrhage

Hemostasis in noncompressible torso hemorrhage

Surgical and endovascular access in noncompressible torso hemorrhage

Organ-specific approaches

Summary

Resuscitative Endovascular Balloon Occlusion of the Aorta: Indications, Outcomes, and Training

Key points

Introduction

History

Resuscitative endovascular balloon occlusion of the aorta procedure

Indications for resuscitative endovascular balloon occlusion of the aorta use in trauma

Resuscitative endovascular balloon occlusion of the aorta use in pelvic fracture hemorrhage

Resuscitative endovascular balloon occlusion of the aorta outcomes in trauma

Prehospital resuscitative endovascular balloon occlusion of the aorta

Education and training

Summary

Prediction of Massive Transfusion in Trauma

Key points

Introduction

Defining massive transfusion

Isolated variables predicting transfusion needs

Clinical gestalt

Transfusion scores

Prehospital prediction of massive transfusion

Turning off massive transfusion

The use of massive transfusion scores in trauma trials

Summary

Tranexamic Acid Update in Trauma

Key points

Introduction

Background

Patient evaluation overview

Tranexamic acid use in children

Pharmacologic treatment options

Role of viscoelastic testing and massive transfusion protocols

Treatment complications

Areas of ongoing research

Summary

Coagulopathy of Trauma

Key points

Introduction

Patient evaluation and overview

Pharmacologic treatment options

Nonpharmacologic treatment options

Combination therapies

Surgical treatment options

Treatment resistance and complications

Evaluation of outcome and long-term recommendations

Summary

Management of Trauma-Induced Coagulopathy with Thrombelastography

Key points

Introduction

Historical context

Assay methodology

Assay interpretation

Limitations of viscoelastic assays

Thrombelastography in trauma-induced coagulopathy

Summary

Optimal Reversal of Novel Anticoagulants in Trauma

Key points

Introduction

Patient evaluation overview

Laboratory evaluation overview

Pharmacologic treatment options

Nonpharmacologic treatment options

Complications

Resuming anticoagulation

Summary

Rib Fracture Fixation: Indications and Outcomes

Key points

Introduction

Patient evaluation

Pharmacologic treatment options

Nonpharmacologic treatment options

Surgical treatment options

Complications related to thoracic trauma and rib fracture fixation

Treatment resistance

Evaluation of outcome and long-term recommendations

Summary

Postinjury Inflammation and Organ Dysfunction

Key points

Historical perspective: evolving concepts on the pathogenesis of multiple organ failure

Defining multiple organ failure

Epidemiology and clinical relevance

The burden of multiple organ failure

Pathophysiology

Interventions

Trauma Quality Improvement

Key points

Introduction

Program structure

Components

Adjunct components

Results

Summary

Index