Trauma

Think tennis:  love - 15 - 30 - 40 - game over

Palpated BP Estimates are Wrong:

BMJ. 2000 September 16; 321(7262): 673–674.  Dot plot showing the distribution of systolic blood pressure according to palpable pulses (group 1: radial, femoral, and carotid pulses present; group 2: femoral and carotid pulses only; group 3: carotid pulse only; group 4: radial, femoral, and carotid pulses absent); shaded areas indicate blood pressures expected according to advanced trauma life support guidelines

Sources of fatal bleeding:

Street (Scalp in children)
Chest
Abdomen
Long Bones (femur)
Pelvis/retroperitoneum


Richard Dutton lecture on trauma resuscitation (Jan, 2011):

Includes this slide, with data from 36,000 patients:

SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
  82k v. 1 Apr 3, 2016, 11:21 AM Kit Tainter
Ċ
View Download
BP estimates by palpation are inaccurate  184k v. 1 Apr 18, 2013, 7:49 AM Kit Tainter
Ċ
View Download
  499k v. 1 Jul 12, 2015, 9:49 AM Kit Tainter
Ċ
View Download
  1270k v. 1 Jun 19, 2012, 1:07 PM Kit Tainter
Ċ
View Download
Tranexamic acid for traumatic hemorrhage  262k v. 1 Jan 21, 2011, 3:16 PM Kit Tainter
Ċ
View Download
  159k v. 1 Oct 7, 2010, 12:02 PM Kit Tainter
Ċ
View Download
  225k v. 1 Jan 12, 2011, 2:43 PM Kit Tainter
Ċ
View Download
  1082k v. 1 May 12, 2016, 8:58 AM Kit Tainter
Ċ
View Download
  86k v. 1 Sep 10, 2011, 1:34 PM Kit Tainter
Ċ
View Download
  930k v. 1 Jul 28, 2016, 10:58 AM Kit Tainter
Ċ
View Download
Review: no steroids for SCI, increased mortality  381k v. 1 Apr 18, 2013, 8:09 AM Kit Tainter
Ċ
View Download
  4248k v. 1 May 13, 2011, 4:10 PM Kit Tainter
Ċ
View Download
  617k v. 1 Oct 7, 2010, 11:38 AM Kit Tainter
Ċ
View Download
  518k v. 1 Mar 5, 2011, 9:08 PM Kit Tainter
Comments