Category Trauma
CCC Critical Care compendium 340

Massive Transfusion Protocol

Reviewed and revised 10 March 2014 OVERVIEW Massive transfusion is defined as replacement of >1 blood volume in 24 hours, or >50% of blood volume in 4 hours (adult blood volume is approximately 70 mL/kg), or in children:  transfusion of…

CCC Critical Care compendium 340

Acute Coagulopathy of Trauma

new terms that are in vogue are trauma-induced coagulopathy (TIC) and acute traumatic coagulopathy (ATC) - not simply a 'dilutional coagulopathy' or 'consumptive coagulopathy'!
CCC Critical Care compendium 340

Refractory Shock in Trauma

Refractory shock in trauma is still most likely due to occult ongoing haemorrhage; shock may be due to the underlying cause of trauma e.g. MI leading to car crash
CCC Critical Care compendium 340

Thoracic Trauma

Assessment of thoracic trauma requires the identification of immediately life-threatening injuries on primary survey, and delayed life threats on secondary survey.
CCC Critical Care compendium 340

Finger Thoracostomy

Finger Thoracostomy: Any pneumothorax in a patient undergoing positive pressure ventilation; Actual or near traumatic cardiac arrest; Shocked state with no apparent cause; Pleural drainage is not indicated in drowning or hangings unless pneumothorax is diagnosed. Remember pleural decompression will reduce the efficiency of the ACD and impedance valve
CCC Critical Care compendium 340

Extremity Injuries

The most important extremity injuries are those that are either life-threatening or limb-threatening in nature such as Pelvic disruption with massive hemorrhage; Severe arterial hemorrhage; and Crush syndrome
CCC Critical Care compendium 340

Pelvic Stabilization

Pelvic stabilization is an important simple intervention in the management of severe pelvic trauma, and has 4 main objectives: Prevent re-injury from pathological pelvic motion (most important clinically); Decrease pelvic volume; Tamponade bleeding pelvic bones and vessels; Decrease pain