Polytrauma – Extracranial

Curriculum Reference

13.9.5 (D) provides safe care for ASA 1-3 adult patients with multiple injuries from arrival in hospital to post-operative care and seeks help appropriately.

13.9.5 (E) Describes the anaesthetic-related problems associated with trauma including burns, poisoning, electrical injuries and drowning.

13.11.5 Demonstrates knowledge and skills in resuscitation of the patient with major trauma.

13.9.4 Describes the principles of intra-operative haemostasis and manages major haemorrhage.

14.11.5 Acts as a member of the multidisciplinary trauma team in the initial assessment and stabilisation of the multiple trauma patient and prioritise further management.

SSM NICU: Can recognise, resuscitate and initiate treatment of the patient with acute neurological injury, having an enhanced understanding of the specific neuropathophysiologies. They will be able to institute advanced pharmacological and physical therapeutic interventions, and continue ongoing diagnostic and disease management strategies, including multi-organ support.

Further Reading (incl. Key Trials)

Effects of tranexamic acid on death, disability, vascular occlusive events and other morbidities in patients with acute traumatic brain injury (CRASH-3): a randomised, placebo-controlled trial

Transfusion of Plasma, Platelets, and Red Blood Cells in a 1:1:1 vs a 1:1:2 Ratio and Mortality in Patients With Severe Trauma: The PROPPR Randomized Clinical Trial | Bleeding and Transfusion | JAMA

National Guidance/Standards

TARN – Home

The European guideline on management of major bleeding and coagulopathy following trauma: fifth edition

Major trauma: assessment and initial management

tranexamic acid CRASH 2

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)60835-5/fulltext

Tranexamic acid and allogenic transfusion

https://pubmed.ncbi.nlm.nih.gov/17943760/

e-learning

eLfH – Intensive care medicine, Module 05 trauma

NACCS Video

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