RT Book, Section
A1 Napolitano, Lena M.
A1 Coimbra, Raul
A1 Doucet, Jay
A1 Kobayashi, Leslie
A2 Feliciano, David V.
A2 Mattox, Kenneth L.
A2 Moore, Ernest E.
SR Print(0)
ID 1175136452
T1 Principles of Critical Care
T2 Trauma, 9e
YR 2020
FD 2020
PB McGraw Hill
PP New York, NY
SN 9781260143348
LK accesssurgery.mhmedical.com/content.aspx?aid=1175136452
RD 2024/04/20
AB KEY  POINTSThe  primary  goal  of  critical  care  in  the  trauma  patient  is  restoration  of  hemodynamic  stability  and  organ  function  via  continuation  of  early  trauma  care,  hemostatic  resuscitation,  organ  support,  and  specific  injury  management.The  ultimate  goal  of  optimal  intensive  care  unit  (ICU)  care  is  to  achieve  zero  preventable  deaths  after  injury.High-intensity  ICU  physician  staffing  is  associated  with  significantly  reduced  ICU  and  hospital  mortality  and  significantly  lower  failure  to  rescue  rates.Although  Advanced  Trauma  Life  Support  has  standardized  trauma  care  in  the  initial  hour  after  injury,  there  is  little  standardization  subsequently  in  the  ICU.ICU  admission  order  sets  should  be  used  to  optimize  early  ICU  care  on  admission.Damage  control  resuscitation  and  massive  transfusion  protocols  decrease  mortality  from  hemorrhagic  shock,  which  is  the  most  common  cause  of  early  mortality  in  trauma.National  evidence-based  guidelines  should  be  used  to  guide  postinjury  ICU  care.Daily  goals  checklist  and  the  ABCDEF  Bundle  enhance  ICU  patient  safety  and  progress.All  preventive  strategies  should  be  implemented  to  prevent  hospital-acquired  infections.Traumatic  brain  injury  management  is  based  on  the  Brain  Trauma  Foundation  guidelines.Septic  shock  has  a  mortality  rate  of  40%;  the  Surviving  Sepsis  Campaign  (SSC)  guidelines  and  2018  SSC  bundle  provide  recommendations  to  improve  outcomes.Acute  respiratory  distress  syndrome  (ARDS)  has  a  high  mortality  rate,  and  use  of  national  ARDS  guidelines  reduces  mortality.