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Review
. 2018 Feb;36(1):41-60.
doi: 10.1016/j.emc.2017.08.005.

Resuscitation Resequenced: A Rational Approach to Patients with Trauma in Shock

Andrew Petrosoniak  1 , Christopher Hicks  2
Affiliations
Review

Resuscitation Resequenced: A Rational Approach to Patients with Trauma in Shock

Andrew Petrosoniak et al. Emerg Med Clin North Am. 2018 Feb.

Abstract

Trauma resuscitation is a complex and dynamic process that requires a high-performing team to optimize patient outcomes. More than 30 years ago, Advanced Trauma Life Support was developed to formalize and standardize trauma care; however, the sequential nature of the algorithm that is used can lead to ineffective prioritization. An improved understanding of shock mandates an updated approach to trauma resuscitation. This article proposes a resequenced approach that (1) addresses immediate threats to life and (2) targets strategies for the diagnosis and management of shock causes. This updated approach emphasizes evidence-based resuscitation principles that align with physiologic priorities.

Keywords: ATLS; Resuscitation; Shock; Shock index; Trauma.

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