Petrosoniak Andrew, Hicks Christopher
Department of Emergency Medicine, St. Michael's Hospital, 1-008c Shuter Wing, 30 Bond street, Toronto, Ontario M5B 1W8, Canada.
Department of Emergency Medicine, St. Michael's Hospital, 1-008c Shuter Wing, 30 Bond street, Toronto, Ontario M5B 1W8, Canada.
Emerg Med Clin North Am. 2018 Feb;36(1):41-60. doi: 10.1016/j.emc.2017.08.005.
Trauma resuscitation is a complex and dynamic process that requires a high-performing team to optimize patient outcomes. More than 30 years ago, Advanced Trauma Life Support was developed to formalize and standardize trauma care; however, the sequential nature of the algorithm that is used can lead to ineffective prioritization. An improved understanding of shock mandates an updated approach to trauma resuscitation. This article proposes a resequenced approach that (1) addresses immediate threats to life and (2) targets strategies for the diagnosis and management of shock causes. This updated approach emphasizes evidence-based resuscitation principles that align with physiologic priorities.
创伤复苏是一个复杂且动态的过程，需要一个高效的团队来优化患者的治疗效果。30多年前，高级创伤生命支持体系被开发出来，以使创伤护理正规化和标准化；然而，所使用算法的顺序性可能导致优先级设定无效。对休克有了更深入的理解后，就需要一种更新的创伤复苏方法。本文提出了一种重新排序的方法，该方法（1）应对对生命的直接威胁，（2）针对休克病因的诊断和管理策略。这种更新后的方法强调与生理优先级相一致的循证复苏原则。
