تروما

Traumatic Hemorrhagic Shock

Hemorrhage remains the major cause of preventable death after trauma . In the acute phase of hemorrhage, the physician’s therapeutic priority is to stop the bleeding as quickly as possible. Hemorrhagic shock is a pathologic state in which intravascular volume and oxygen delivery are impaired. As long as this bleeding is not controlled, the physician…

۱۳۹۳-۱۲-۲۳
Use of Tranexamic Acid in Trauma Patients

Use of tranexamic acid in trauma patients Tranexamic acidis an antifibrinolytic agent and inhibits the activation of plasminogen to plasmin. Trial data (CRASH-2) [ Reference :Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant hemorrhage (CRASH-2): a randomised, placebo-controlled trial, The Lancet, Vol 376, issue 9734, 23-32;…

۱۳۹۳-۱۲-۲۳
Blunt Chest Trauma – Commotio cordis

Commotio cordis (disturbance of the heart) is a descriptive term meaning cardiac arrest associated with low-impact blunt trauma to the anterior chest, usually by a relatively low-velocity missile, such as a baseball, cricket ball or hockey puck, or by a blow delivered by a fist, foot, elbow, or knee during sporting activities. It is not…

۱۳۹۳-۱۲-۰۶
Chest Trauma – Transmediastinal Wounds

  Transmediastinal Wounds For patients who have sustained gunshot wounds that have traversed the mediastinum and who are unstable, immediate operative repair is necessary. For those patients who are hemodynamically stable the question is somewhat controversial, some surgeons would advocate immediate exploration whilst other would advocate a more conservative approach with CT scanning. Advocates of…

۱۳۹۳-۱۲-۰۶