Is this patient "hemodynamically stable or instable ?

• Previous message: simple thoracostomy = NO needles (just a finger)
• Next message: Is this patient "hemodynamically stable or instable ?
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]

when and how i can define - Is this patient "hemodynamically unstable"      in trauma of pelvis or abdomen 

i would know in which way  i can use the parameters (age ,gcs, blood pressure, heart rate  lactate  be ) and of course  clinic 
to define if the patient is stable or instable - 
example 
  a man after a car crash come in  er-
 parameters : hr 100  fr 19 gcs 15 bp 90/70  lactate 3,0 be -2,4 age 69 .........patient has affected by hypertension in  drug treatment with acei
cxr negative.fast on arrival negative -pxr show a focal fracture of anterior arch  (pubic  fractire and acetabular fracture transtectal - after a drip of warm ringer 2000 cc parameters are  hr 100  bp 105/80  gcs 15 lactate 2,7 be -2,4  fr 18 ..this patient will be stable or instable.....?
all algorytms for pelvic fracture show the definition of  stable instable      well  ,when i can say  this patient in stable ..........or instable ......
Neither the AIS/ISS, the APACHE score, or the TRISS are available quickly. 

Age, fracture pattern, RTS, base deficit, GCS, systolic blood pressure and (according to Wolfgang Ertel) lactate - these are available quickly. 

We need to be able to define "unstable" quickly. If it takes us an hour to tell who's unstable, ............may be too late for the patient 


thancks for your attention  and time

a belletti 


-------------- next part --------------
An HTML attachment was scrubbed...
URL: http://list.mistral.net/pipermail/trauma-list/attachments/20040802/02fd1a27/attachment.htm

• Previous message: simple thoracostomy = NO needles (just a finger)
• Next message: Is this patient "hemodynamically stable or instable ?
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]