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Chapter 31 - Trauma Anesthesia

Published online by Cambridge University Press:  24 May 2023

Alan David Kaye
Louisiana State University School of Medicine
Richard D. Urman
Brigham and Women’s Hospital, Boston
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A primary survey is performed immediately on admission to evaluate and treat life-threatening injuries such as hemorrhage, airway, and brain injuries. Hemorrhage leads to 40% of trauma-related deaths, particularly in the first 24 hours. Thromboelastography (TEG), rotational thromboelastometry (ROTEM), complete blood count, fibrinogen, prothrombin time (PT), activated partial thromboplastin time (aPTT), and international normalized ratio (INR) should be obtained to evaluate coagulation targeted to obtain clot stability [1]. It is also essential to measure renal and liver function, as both affect coagulation and drug elimination [2].

Publisher: Cambridge University Press
Print publication year: 2023

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