2022 Trauma University: Management of Multiple Trauma Patients-Part 2

Video Transcription

Video Summary

In this video, Dr. Britt Wells, an orthopedic surgeon, and Dr. Angela Martin, a perinatologist, discuss the management of trauma in pregnant patients. They highlight the importance of stabilizing the mother's condition as the primary goal and the significant physiological changes that occur during pregnancy, including cardiovascular, respiratory, renal, and hematological changes. They emphasize the need for early intubation and careful airway management, as well as the use of TXA to control bleeding. They also discuss the management of placental abruption, the use of diagnostic imaging, and the performance of perimortem cesarean sections in the trauma bay. The speakers address the risks and benefits of these interventions and stress the importance of multidisciplinary collaboration between trauma and obstetric teams. They highlight the relatively low mortality and fetal death rates from trauma in pregnancy, and emphasize the need for ongoing monitoring and evaluation of fetal well-being in the aftermath of trauma. Overall, the speakers provide a comprehensive overview of the management of trauma in pregnant patients and the considerations that should guide clinical decision-making.

Keywords

trauma management

pregnant patients

physiological changes

early intubation

airway management

TXA

placental abruption

diagnostic imaging

perimortem cesarean sections

fetal well-being

Trauma University