Format

Send to

Choose Destination
Surg Clin North Am. 2006 Dec;86(6):1359-87.

Critical care issues in the early management of severe trauma.

Author information

1
Trauma Division, Hospital Universitario del Valle, Calle 5 No. 36-08, Cali, Columbia. agarciam@telesat.com.co

Abstract

Violent trauma and road traffic injuries kill more than 2.5 million people in the world every year, for a combined mortality of 48 deaths per 100,000 population per year. Most trauma deaths occur at the scene or in the first hour after trauma, with a proportion from 34% to 50% occurring in hospitals. Preventability of trauma deaths has been reported as high as 76% and as low as 1% in mature trauma systems. Critical care errors may occur in a half of hospital trauma deaths, in most of the cases contributing to the death. The most common critical care errors are related to airway and respiratory management, fluid resuscitation, neurotrauma diagnosis and support, and delayed diagnosis of critical lesions. A systematic approach to the trauma patient in the critical care unit would avoid errors and preventable deaths.

PMID:
17116453
PMCID:
PMC3413270
DOI:
10.1016/j.suc.2006.07.004
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Elsevier Science Icon for PubMed Central
Loading ...
Support Center