2021 Trauma University: In-depth Review: Penetrating Truncal Injury-Handout: In-depth Review: Penetrating Truncal Injury

Handout: In-depth Review: Penetrating Truncal Injury

Pdf Summary

Summary:<br /><br />In this Trauma University Session, the presenters discussed various topics related to trauma care, pre-hospital transfers, and damage control surgery. The session began with a case scenario of a male victim with gunshot wounds. The importance of rapid hemorrhage control and early intervention was emphasized, along with the use of tourniquets and temporary measures like REBOA.<br /><br />The session also highlighted the significance of permissive hypotension, limited crystalloid resuscitation, and the use of whole blood in trauma resuscitation. The role of damage control surgery in achieving primary hemorrhage control, contamination control, and managing abdominal compartment syndrome was discussed.<br /><br />Temporary vascular shunts were mentioned as a valuable tool in cases of severe vascular injury, multiple injuries, or when warm ischemic time limits are reached. The session also touched upon the management of hemothorax, emphasizing the need for early drainage and considering VATS if a significant amount of blood is retained.<br /><br />Throughout the session, key principles and guidelines were emphasized. The importance of a multidisciplinary approach and a systematic approach to trauma care were highlighted. Quality management and continuous improvement in trauma care were discussed, with a focus on loop closure and adherence to guidelines.<br /><br />Overall, the session provided valuable insights into trauma care and the management of complex trauma cases, emphasizing the importance of early intervention, damage control surgery, and a comprehensive approach to trauma care.

Keywords

Trauma University Session

trauma care

pre-hospital transfers

damage control surgery

hemorrhage control

REBOA

permissive hypotension

vascular shunts

hemothorax management

multidisciplinary approach