Citation

Egea-Guerrero JJ, Freire-Aragón MD, Serrano-Lázaro A, Quintana-Díaz M. Med. Intensiva 2014; 38(8): 502-512.

Vernacular Title

Objetivos y nuevas estrategias de resucitación en el paciente traumatizado grave.

Affiliation

Unidad de Cuidados Intensivos, Hospital Universitario de La Paz, Madrid, España.

Copyright

(Copyright © 2014, Elsevier Publishing)

DOI

10.1016/j.medin.2014.06.003

PMID

25241268

Abstract

Traumatic injuries represent a major health problem all over the world. In recent years we have witnessed profound changes in the paradigm of severe trauma patient resuscitation, new concepts regarding acute coagulopathy in trauma have been proposed, and there has been an expansion of specific commercial products related to hemostasis, among other aspects. New strategies in severe trauma management include the early identification of those injuries that are life threatening and require surgical hemostasis, tolerance of moderate hypotension, rational intravascular volume replacement, prevention of hypothermia, correction of acidosis, optimization of oxygen carriers, and identification of those factors required by the patient (fresh frozen plasma, platelets, tranexamic acid, fibrinogen, cryoprecipitates and prothrombin complex). However, despite such advances, further evidence is required to improve survival rates in severe trauma patients.

Language: es