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domingo, 27 de julio de 2014

Trauma grave

McCullough A, JHaycock C, Forward D & and Moran C. 
British Journal of Anaesthesia 2014; 113 (2): 234–41

"Editors’s key points
  • The trauma team must function as a unit with effective leadership and a clear understanding by team members of their roles.
  • Repeated briefing and review maintains clinical through the numerous transitions involved in the care of trauma patients.
  • A higher rate of failed intubation is seen in trauma patients than in other groups.
  • During intra-operative care, the patient’s status should be reviewed every 10–30 minutes and the surgical plan modified if necessary.
The major trauma team relies on an efficient, communicative team to ensure patients receive the best quality care. This requires a comprehensive handover, rapid systematic review, and early management of life- and limb-threatening injuries. These multiple injured patients often present with complex conditions in a dynamic situation. The importance of team work, communication, senior decision-making, and documentation cannot be underestimated."