Initial Assessment and Early Resuscitation

  • Louis H. Alarcon
  • Andrew B. Peitzman


During the initial assessment and early resuscitation phase, a multiple trauma patient (25-year-old man) is determined to be in hemorrhagic shock and has the following findings:
  • Multiple abrasions (head, torso, and extremities)

  • Dilated right pupil

  • Precordial bruises (chest x-ray demonstrates fully expanded bilateral lungs with an endotracheal tube above the carina; a widened mediastinum; obliterated pulmonary-aortic window and aortic knob)

  • Soft abdomen

  • Unstable pelvic fracture (pneumatic garment is now inflated)


Septic Shock Severe Sepsis Trauma Patient Hemorrhagic Shock Acute Abdominal Pain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Louis H. Alarcon
    • 1
  • Andrew B. Peitzman
    • 2
  1. 1.Departments of Critical Care Medicine and SurgeryUniversity of Pittsburgh School of MedicinePittsburghUSA
  2. 2.Department of SurgeryUniversity of PittsburghPittsburghUSA

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