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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Sheffy, N. Chemsian, R. V. Grabinsky, A. |
| Description | Country affiliation: United States Author Affiliation: Sheffy N ( Department of Anesthesiology and Pain Medicine, University of Washington/Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, USA nadavs1@uw.edu.); Chemsian RV ( Department of Anesthesiology and Pain Medicine, University of Washington/Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, USA.); Grabinsky A ( Department of Anesthesiology and Pain Medicine, University of Washington/Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, USA.) |
| Abstract | Trauma and penetrating injury, mostly in the form of assault and self-inflicted gunshot and stab wounds, is a major contributor to mortality and morbidity in the modern world, specifically among younger populations. While the prevalence of this form of injury is drastically lower in the UK and Europe in comparison with the USA, it is still common enough to necessitate practising anaesthetists to have a good understanding and working knowledge of the principles in treating victims with penetrating injury. This review article aims to cover basic principles of attending to penetrating trauma victims starting at the pre-hospital level and continuing into the emergency department (ED) and the operating theatre. We will highlight major issues with regard to airway control, severe bleeding treatment, and emergency scene and ED procedures. We also suggest a work flow for treating life-threatening penetrating injury and review the major controversies in this field. Our perspective is based on the experience and procedures used at the University of Washington's Harborview Medical Center, the only level 1 trauma centre covering the states of Washington, Alaska, Montana, Idaho, and Wyoming in the USA. This region contains almost 11 000 000 persons over a surface area of more than 2 700 000 km(2). |
| File Format | HTM / HTML |
| ISSN | 00070912 |
| e-ISSN | 14716771 |
| Journal | British Journal of Anaesthesia |
| Issue Number | 2 |
| Volume Number | 113 |
| Language | English |
| Publisher | Oxford University Press |
| Publisher Date | 2014-08-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Discipline Anesthesiology Anesthesia Wounds, Penetrating Therapy Airway Management Emergency Medical Services Emergency Service, Hospital Organization & Administration Hemorrhage Etiology Wounds, Gunshot Pathology |
| Content Type | Text |
| Resource Type | Article |
| Subject | Anesthesiology and Pain Medicine |
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