Trauma Mortality and the Golden Hour
The ‘golden hour’ is term often used in trauma to suggest that an injured patient has 60 minutes from time of injury to receive definitive care, after which morbidity and mortality significantly increase
The ‘golden hour’ is term often used in trauma to suggest that an injured patient has 60 minutes from time of injury to receive definitive care, after which morbidity and mortality significantly increase
cholecystitis = inflammation of the gall bladder; causes: mechanical, chemical and infectious -> mucosal injury; complications: pancreatitis, ascending cholangitis, gall bladder empyema, gangrene
Potentially lethal electrical injury due to lightning exposure; 24,000 deaths/ year worldwide
Smoke is a complicated heterogeneous mixture of potentially toxic gases, chemical fumes, asphyxiants and particulate debris. Smoke inhalation is commonly seen in patients with burns as a result of fire; it is associated with high morbidity and mortality
Prevention of electrocution in the hospital setting
Diabetes insipidus (DI) is a condition caused by loss of the effect of antidiuretic hormone on the collecting ducts of the kidneys, resulting in loss of free water.
Temperature and TBI. Induced hypothermia has been used for years to reduced cerebral metabolic rate; manipulation of temperature has been shown to effect certain types of brain injury (therapeutic hypothermia in out-of-hospital cardiac arrest).
A 'volume-targeted' approach to the management of TBI developed by a Swedish group (not ABBA), based on physiological volume regulation of the intracranial compartments. The Lund concept contradicts the prevailing strategem of titrating CPP to match ICP in TBI
polyuria following TBI is common; multiple causes, some of which imply a poor prognosis. Goal is to identify and treat the cause and any complications
DEFINITION PROGNOSTIC DETERMINANTS FACTORS WARRANTING ADMISSION TO ICU Patient factors Environmental factors References and Links
Diabetes insipidus (DI) results from decreased secretion and action of anti-diuretic hormone (ADH). ADH is produced in the hypothalamus and transported to the posterior pituitary gland
Brain impact apneoa is an under-appreciated cause of morbidity and mortality in traumatic brain injury (TBI)