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Author: Olivier Cassone
Publisher:
ISBN:
Category :
Languages : fr
Pages : 234
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Book Description
Lhémorragie aigue demeure une des premières causes de mortalité en traumatologie et ce malgré les progrès de la chirurgie et de la radiologie interventionnelle. Le décès survenant essentiellement dans les douze premières heures lorsque le patient est encore sur les liieux de l'accident, dans l'ambulance du SMUR ou dans le service d'urgence, le choc hémorragique d'origine traumatique est une des spécificités de la médecine d'urgence. La stratégie transfusionnelle est une des clés de la réanimation du choc hémorragique. Des données récentes sur la physiopathologie des troubles de l'hémostase au cours du choc hémorragique et sur la physiologie de l'hémostase permettent aujourd'hui dans ce cadre de préconiser un recours plus précoce à la transfusion sanguine. A travers une revue des dernières avancées concernant la compréhension des mécanismes de l'hémostase et du choc hémorragique, associées à celle des progrès réalisés en termes de stratégie de prise en charge du patient via le concept de "damage control" en traumatologie, cette étude a pour but de décrire la prise en charge des patients traumatisés présentant un saignement d'origine traumatique sévère défini par la transfusion d'au moins 4 concentrés érythrocytaires ou de patients décédés de choc hémorragique dans le service de réanimation des urgences de l'hôpital Pellegrin de Bordeaux.
Author: Olivier Cassone
Publisher:
ISBN:
Category :
Languages : fr
Pages : 234
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Book Description
Lhémorragie aigue demeure une des premières causes de mortalité en traumatologie et ce malgré les progrès de la chirurgie et de la radiologie interventionnelle. Le décès survenant essentiellement dans les douze premières heures lorsque le patient est encore sur les liieux de l'accident, dans l'ambulance du SMUR ou dans le service d'urgence, le choc hémorragique d'origine traumatique est une des spécificités de la médecine d'urgence. La stratégie transfusionnelle est une des clés de la réanimation du choc hémorragique. Des données récentes sur la physiopathologie des troubles de l'hémostase au cours du choc hémorragique et sur la physiologie de l'hémostase permettent aujourd'hui dans ce cadre de préconiser un recours plus précoce à la transfusion sanguine. A travers une revue des dernières avancées concernant la compréhension des mécanismes de l'hémostase et du choc hémorragique, associées à celle des progrès réalisés en termes de stratégie de prise en charge du patient via le concept de "damage control" en traumatologie, cette étude a pour but de décrire la prise en charge des patients traumatisés présentant un saignement d'origine traumatique sévère défini par la transfusion d'au moins 4 concentrés érythrocytaires ou de patients décédés de choc hémorragique dans le service de réanimation des urgences de l'hôpital Pellegrin de Bordeaux.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309442850
Category : Medical
Languages : en
Pages : 531
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Book Description
Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.
Author: Rodger L. Bick
Publisher: Lippincott Williams & Wilkins
ISBN: 9780397516902
Category : Medical
Languages : en
Pages : 472
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Book Description
Written for a multidisciplinary audience, this revision presents current data on antithrombotic therapy including warfarins and heparin, delivers practical techniques for diagnosing and treating bleeding and clotting disorders, and includes all topics necessary for board review. This practical text covers disorders of thrombosis and hemostasis in a logical and sequential manner: etiology, pathophysiology, clinical and laboratory diagnosis, and management. Also included are diagnostic tests for deep venous thrombosis, three new clotting defects, hereditary disorders and defects, liver and renal diseases, cardiovascular events, and problems in obstetrical/gynecological patients. A Brandon-Hill recommended title.
Author: Frank A. Reister
Publisher:
ISBN:
Category : Korean War, 1950-1953
Languages : en
Pages : 198
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Book Description
Author: Philip C. Spinella
Publisher: Springer
ISBN: 3030208206
Category : Medical
Languages : en
Pages : 376
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Book Description
This book provides a comprehensive overview of damage control resuscitation (DCR), an evidence-based approach to the resuscitation of patients with severe life-threatening hemorrhage (LTH). It focuses on both civilian and military applications as DCR is utilized in civilian trauma situations as well as combat casualty care settings. The book covers the history of fluid resuscitation for bleeding, epidemiology of severe traumatic injuries, prediction of life-threatening hemorrhage, pathophysiology and diagnosis of blood failure, and permissive hypotension. Chapters provide in-depth detail on hemostatic resuscitation principles, dried plasma, dried platelet surrogates, and recent developments in frozen red blood cells and oxygen carriers. The book also discusses how DCR principles can be used in a variety of situations such as when there are large numbers of patients with hemorrhagic lesions, non-trauma scenarios, and on distinct populations such as children. Finally, it concludes with a discussion of training and education methods for the implementation of DCR and remote DCR principles as well as learning healthcare system principles to facilitate the implementation of DCR and ultimately improve outcomes for patients with life-threatening hemorrhage. Damage Control Resuscitation: Identification and Treatment of Life-Threatening Hemorrhage is an essential resource for physicians and related professionals, residents, nurses and medical students in emergency medicine, anesthesia, surgery, and critical care, as well as civilian and military EMS providers.
Author: Michael R. Pinsky
Publisher: CRC Press
ISBN:
Category : Health & Fitness
Languages : en
Pages : 588
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Book Description
Author: Crispian Scully
Publisher: BMJ Books
ISBN: 9780727915511
Category : Medical
Languages : en
Pages : 41
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Book Description
For patients with oral health problems or dental emergencies, the GP or primary health care worker is often the first port of call. This ABC covers all the most common oral conditions encountered in primary care. It gives clear concise guidance on the management and prevention of oral health problems with the aid of high quality clinical photographs. Advice is given on which conditions are minor, and which could signify more serious underlying disease. The ABC of Oral Health will be an invaluable reference for GPs, practice nurses, and all those involved in oral health care.
Author: J. D. Edwards
Publisher: Bailliere Tindall Limited
ISBN:
Category : Medical
Languages : en
Pages : 392
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Book Description
Author: Hugh MacPherson (Ph. D.)
Publisher:
ISBN: 9780443050497
Category : Medical
Languages : en
Pages : 482
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Book Description
Written by THE leading lights in the field of integrating acupuncture into a Western medical system, this book bridges the gap between the theoretical foundations of acupuncture and its application in a modern Western clinical context. Each case history focuses on the complexities and dilemmas of treatment that are tackled, providing valuable insights by experienced practitioners into the management of a course of acupuncture treatment.
Author: European Directorate for the Quality of Medicines & HealthCare
Publisher:
ISBN: 9789287180711
Category : Blood
Languages : en
Pages : 530
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Book Description
The use of blood components represents the only therapy available for many seriously-ill patients who suffer from acute or chronic diseases. To provide all those working in the field of transfusion medicine - from blood services to hospital departments to regulators - with a compendium of measures designed to ensure the safety, quality and efficacy of blood components, the Council of Europe has developed a guide as a technical annex to its Recommendation NA R (95) 15 on the preparation, use and quality assurance of blood components. The Guide contains recommendations on blood collection, blood components, technical procedures, transfusion practices and quality systems for blood establishments. It represents the basis for a large number of national regulations, as well as for the blood directives of the European Commission. This is the 17th edition of the Guide, compiled by leading European experts under the aegis of the European Committee (Partial Agreement) on Blood Transfusion (CD-P-TS). This Steering Committee was created in 2007 by the Council of Europe to pursue its activities in the field of blood transfusion following the transfer of these activities to the EDQM.
