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Evaluation and Management of Polytrauma Patients

  • Jay MenakerEmail author
  • Kimberly Boswell
Chapter
  • 62 Downloads

Abstract

Injury remains a leading cause of death in the United States. It is imperative that the emergency medicine physician be trained to effectively evaluate, treat, and appropriately triage these patients. Although the general concept of trauma care has not changed over the last 30–40 years, the manner in which care provided has evolved. It was traditionally believed that all intrathoracic and intraabdominal hemorrhage following injury requires operative intervention; however, with the advancement of technology including ultrasound, CT scan, and catheter-based therapies, the paradigm has shifted. Additionally, resuscitation techniques have changed focusing on the use of blood products rather than crystalloid or colloid. This chapter will focus on the initial management of the trauma patient with injuries to the chest, abdomen, pelvis, and extremities.

Keywords

Injury Trauma Resuscitation Chest Abdomen Pelvis Nonoperative management Pelvic fractures Resuscitative endovascular balloon occlusion of the aorta 

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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland School of MedicineBaltimoreUSA
  2. 2.University of Maryland School of MedicineBaltimoreUSA

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