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Damage Control Surgery

Karim Brohi, London, UK, June 01, 2000

Damage control surgery is one of the major advances in surgical technique in the past 20 years.  Multiple trauma patients are more likely to die from their intra-operative metabolic failure that from a failure to complete operative repairs. Patients with major exsanguinating injuries will not survive complex procedures. The operating team must undergo a shift in their mindset if the patient is to survive such devastating injuries.

Witnessed Trauma Resuscitation - Can relatives be present?

Do relatives benefit from witnessing the trauma resuscitation?

, August 05, 2000

Elaine Cole
Lecturer Practitioner in Accident & Emergency
Royal London Hospital - City University

Witnessed Resuscitation

A man was knocked off his bicycle by a lorry sustaining a traumatic amputation…

Permissive Hypotension: Discussion Archive

Permissive Hypotension for Trauma Resuscitation

, October 01, 2002

"Please mark my word. Within no less than 10 years, probably even less than 5 years, any[one] that raises the blood pressure to higher than 3/4 the pre injury level,…

Initial evaluation

Chest Trauma Initial Evaluation

, February 09, 2004


Hypoxia and hypoventilation are the primary killers of acute trauma patients. Assessment of ventilation is therefore given high priority in the primary survey - as the second ‘B’ or Breathing stage. It may be obvious that there is a ventilatory problem during assessment of the airway. Similarly, the identification or actual severity of certain conditions may only be determined subsequently, after assessment of the circulation or the use of monitoring or diagnostic adjuncts.

Recombinant Factor VIIa (NovoSeven) for Traumatic Coagulopathy

Factor VIIa in trauma: review of the literature and recommendations for use

Karim Brohi, London, UK, October 07, 2006

Recombinant Factor VIIa is a novel therapy for the treatment of traumatic coagulopathy.  This article reviews the current literature and gives recommendations for use based on current best evidence.

Trauma Moulages

Interactive trauma scenarios

, November 23, 2006

Welcome to TRAUMA.ORG's trauma moulage scenarios. A moulage is a practice scenario, where you have a patient to assess and manage appropriately. These moulages were the first on the internet…