Determining the post-trauma bay destination is a critical step in managing patients presenting with severe injury. After the initial patient assessment, the practitioner is tasked with interpreting the collective findings that will then dictate the patient’s post-trauma bay disposition. Subsequent next steps in management options commonly include immediate operating room transport, interventional radiologic intervention, or computed tomography screening for additional injuries. A failure to notice or misinterpretation of relevant exam findings in the trauma bay will lead to faulty decision-making and subsequent patient harm or even death. Therefore, the practitioner must be mindful of the various diagnostic or interventional modalities available for post-trauma bay management, the ability of patients to tolerate additional imaging (e.g., CT), or modalities of hemorrhage control that are less expeditious (e.g., angiography) than immediate operative exploration.

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Post-trauma Bay Considerations: OR, CT, IR?

  • Abdimajid Mohamed,
  • Crisanto M. Torres

摘要

Determining the post-trauma bay destination is a critical step in managing patients presenting with severe injury. After the initial patient assessment, the practitioner is tasked with interpreting the collective findings that will then dictate the patient’s post-trauma bay disposition. Subsequent next steps in management options commonly include immediate operating room transport, interventional radiologic intervention, or computed tomography screening for additional injuries. A failure to notice or misinterpretation of relevant exam findings in the trauma bay will lead to faulty decision-making and subsequent patient harm or even death. Therefore, the practitioner must be mindful of the various diagnostic or interventional modalities available for post-trauma bay management, the ability of patients to tolerate additional imaging (e.g., CT), or modalities of hemorrhage control that are less expeditious (e.g., angiography) than immediate operative exploration.