Advances in polytrauma management in the emergency setting

A comprehensive review

https://doi.org/10.53730/ijhs.v7nS1.15133

Authors

  • Omar Hussain Alsomali KSA, National Guard Health Affairs
  • Munifah Afit Alshammari KSA, National Guard Health Affairs
  • Fahad Mohammed Altayawi KSA, National Guard Health Affairs
  • Abdulelah Dawas Alonezi KSA, National Guard Health Affairs
  • Abdullah Hashem Kabi KSA, National Guard Health Affairs
  • Adel Zayed Almutairi KSA, National Guard Health Affairs
  • Fahad Ghazi Almutairi KSA, National Guard Health Affairs
  • Eissa Hamed Alsulami KSA, National Guard Health Affairs
  • ‏Zainab Abdullah Alshagag KSA, National Guard Health Affairs
  • ‏Khaled Mohammed Alqattan KSA, National Guard Health Affairs
  • ‏Hamad Marshud Alotaibi KSA, National Guard Health Affairs

Keywords:

Polytrauma, pre-hospital care, emergency department, Damage Control Orthopaedics, Damage Control Resuscitation, trauma management

Abstract

Background: Polytrauma, a major global health issue, poses significant challenges to healthcare systems worldwide due to its high mortality and disability rates. Despite advances in diagnostic and therapeutic approaches, trauma remains a leading cause of death, particularly from road traffic accidents and among the elderly. Traditional definitions and management strategies for polytrauma have evolved, now incorporating comprehensive criteria such as the Berlin definition. Aim: This review aims to provide an updated overview of polytrauma management in emergency settings, focusing on advancements and current practices in pre-hospital care, emergency department resuscitation, and subsequent rehabilitation phases. Methods: The review synthesizes recent research and guidelines related to polytrauma management, including pre-hospital care techniques, resuscitation strategies, and innovative approaches like Damage Control Orthopaedics (DCO) and Damage Control Resuscitation (DCR). Key areas of focus include airway management, hemorrhage control, and the management of trauma-associated coagulopathy. Results: Advances in polytrauma management include the implementation of the Advanced Trauma Life Support (ATLS) and Pre-Hospital Trauma Life Support (PHTLS) systems, which have improved outcomes by standardizing care protocols. The integration of DCO and the shift towards individualized care approaches, such as Prompt Individualized Safe Management (PRISM), have enhanced patient stabilization and recovery. 

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Published

15-01-2023

How to Cite

Alsomali, O. H., Alshammari, M. A., Altayawi, F. M., Alonezi, A. D., Kabi, A. H., Almutairi, A. Z., Almutairi, F. G., Alsulami, E. H., Alshagag, ‏Zainab A., Alqattan, ‏Khaled M., & Alotaibi, ‏Hamad M. (2023). Advances in polytrauma management in the emergency setting: A comprehensive review. International Journal of Health Sciences, 7(S1), 3450–3470. https://doi.org/10.53730/ijhs.v7nS1.15133

Issue

Vol. 7 No. S1 (2023)

Section

Peer Review Articles
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