medigraphic.com
ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2003, Number 1

<< Back Next >>

An Med Asoc Med Hosp ABC 2003; 48 (1)

Eleven years experience in the attention of politraumatized patient at the Trauma-Shock Unit of the Cruz Roja Mexicana

Rodríguez-Ortega MF, Delgadillo-Gutiérrez S, Basilio-Olivares A, López-Castañeda H

Language: Spanish
References: 11
Page: 18-23
PDF size: 72.00 Kb.


ABSTRACT

Objective: To inform our experience in the management of trauma patients in trauma-room at the Mexican Red Cross Central Hospital. Setting: Mexican Red Cross Central Hospital. Design: Retrospective and observational study. Patients and methods: We reviewed the clinical records of trauma patients at the Red Cross central Hospital from March 1990 to September 2001. the followin variables were analyzed: Mechanisms of lesion, gender and age, radiologic and special studies, elapsed time in the trauma room, morbidity and mortality. Results: 8741 patients were studied, the most common mechanism of trauma was that motor vehicle trauma, airway control without intubation, orotracheal intubation, hypovolemic shock treatment, neurologic management and different special studies (for example diagnostic peritoneal lavage) were analyzed. Conclusion: The ABC´s of the ATLS course are an accepted method for primary and second survey in trauma patients and diagnostic imaging plays a major role in the initial work-up of trauma and in the definitive treatment priorities for the patient with multiple trauma


REFERENCES

  1. Feliciano DV. Trauma. 4a ed. México: McGraw–Hill-Interamericana, 2001.

  2. American College of Surgeons. Committee of Trauma. Advanced Trauma Life Support. Programa para médicos. 6a ed. Chicago, Illinois: American College of Surgeons, 1997.

  3. Bell RM. ATLS: a foundation for trauma training. Ann Emerg Med 1999; 34: 233-237.

  4. Mackenzie CF. Emergency department management of trauma. Anesthesiol Clin N Am 1999; 17: 45-61.

  5. McCabe C. Trauma: An annotated bibliography of the recent literature 2000. Am J Emerg Med 2000; 19: 437-452.

  6. Amoroso TA. Evaluation of the patient with blunt abdominal trauma evidence based approach. Emerg Med Clin N Am 1999; 17: 63-75.

  7. Sullivan DJ. Termination of life support after major trauma. Surg Clin N Am 2000; 80: 1055-1066.

  8. Demetriades D. Old age as a criterion for trauma team activation. J Trauma 2001; 51: 754-757.

  9. Khetarpol S. Trauma faculty and trauma team activation: impact on trauma system function and patient outcome. J Trauma 1999; 47: 576-581.

  10. Coppola PT. Emergency department evolution and treatment of pelvic fractures. Emerg Med Clin N Am 2000; 18: 1-27.

  11. Turen CH: Approach to polytraumatized patient with musculoskeletal injuries. J Am Acad Orthop Surg 1999; 7: 154-165.




2020     |     www.medigraphic.com