Georgescu V, Tudorache O, Nicolau M, Strambu V
Department of Anaesthesia and Intensive Care, "Carol Davila" Nephrology Hospital, Bucharest, Romania.
Department of Anaesthesia and Intensive Care, "Agrippa Ionescu" Emergency Hospital, Bucharest, Romania.
J Med Life. 2015;8 Spec Issue(Spec Issue):103-9.
Severe trauma is the most frequent cause of death in young people, in civilized countries with major social and vital costs. The speed of diagnostic decision making and the precocity of treatment approaches are both essential and depend on the specialists' colaboration. The present study aims to emphasize the actual situation of medical interventions in case of cardiorespiratory arrest due to trauma. 1387 patients who suffered a cardio respiratory arrest both traumatic and non-traumatic were included in order to point out the place of traumatic arrest. Resuscitation of such patients is considered useless and resource consumer by many trauma practitioners who are reporting survival rates of 0%-3.5%. As the determinant of lesions, trauma etiology was as it follows car accidents - 43%, high falls - 30%, suicidal attempts - 3%, domestic violence - 3%, other causes - 21%. Hypovolemia remains the major cause of cardiac arrest and death and that is why the efforts of emergency providers (trauma team) must be oriented towards "hidden death" in order to avoid it. This condition could be revealed and solved easier with minimal diagnostic and therapeutic maneuvers in the emergency department.
在文明国家，严重创伤是年轻人最常见的死亡原因，会带来重大的社会和生命代价。诊断决策的速度和治疗方法的及时性都至关重要，且依赖于专家之间的协作。本研究旨在强调因创伤导致心肺骤停时医疗干预的实际情况。纳入了1387名遭受创伤性和非创伤性心肺骤停的患者，以指出创伤性骤停的情况。许多创伤科医生认为对这类患者进行复苏是无用的且耗费资源，他们报告的生存率为0% - 3.5%。作为损伤的决定因素，创伤病因如下：车祸 - 43%，高处坠落 - 30%，自杀未遂 - 3%，家庭暴力 - 3%，其他原因 - 21%。低血容量仍然是心脏骤停和死亡的主要原因，这就是为什么急救人员（创伤团队）的努力必须针对“隐匿性死亡”以避免其发生。在急诊科通过最小限度的诊断和治疗操作，这种情况更容易被发现和解决。
