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Emerg Med Australas. 2017 Apr;29(2):252-253. doi: 10.1111/1742-6723.12753. Epub 2017 Feb 25.

Cruciform position for trauma resuscitation.

Author information

1
Emergency and Trauma Centre, The Alfred Hospital, Melbourne, Victoria, Australia.
2
National Trauma Research Institute, The Alfred Hospital, Melbourne, Victoria, Australia.
3
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
4
Monash Alfred Injury Network, Melbourne, Victoria, Australia.
5
Trauma Service, The Alfred Hospital, Melbourne, Victoria, Australia.

Abstract

Multiply injured patients represent a particularly demanding subgroup of trauma patients as they require urgent simultaneous clinical assessments using physical examination, ultrasound and invasive monitoring together with critical management, including tracheal intubation, thoracostomies and central venous access. Concurrent access to multiple body regions is essential to facilitate the concept of 'horizontal' resuscitation. The current positioning of trauma patient, with arms adducted, restricts this approach. Instead, the therapeutic cruciform positioning, with arms abducted at 90°, allows planning and performing of multiple life-saving interventions simultaneously. This positioning also provides a practical surgical field with improved sterility and procedural access.

KEYWORDS:

emergency department; resuscitation; shock; wounds and injuries

PMID:
28236379
DOI:
10.1111/1742-6723.12753
[Indexed for MEDLINE]

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