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Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition) ›› 2017, Vol. 03 ›› Issue (02): 122-126. doi: 10.3877/cma.j.issn.2096-1537.2017.02.009

Special Issue:

• Basic Protocols of Diagnosis and Management • Previous Articles     Next Articles

Diagnosis and treatment protocol for acute multi-trauma

Bo Hu1, Lina zhang2, Ruiqiang Zheng3, Qian Zhai4, Xianghong Yang5, Wenkui Yu6, Dan Zhang7, Haiyan Yin8, Zhiyong Peng1, Yun Long9,(), Critical Care County Working Group   

  1. 1. Department of Intensive Care Unit, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
    2. Department of Intensive Care Unit, Xiangya Hospital, Central South University, Changsha 410008, China
    3. Department of Critical Care Medicine, Northern Jiangsu Province People′s Hospital, Yangzhou 225001, China
    4. Department of Critical Care Medicine, Qilu Hospital of Shandong University, Jinan 250012, China
    5. Department of Critical Care Medicine, Zhejiang Provincial people’s Hospital, Hangzhou 310014, China
    6. Department of Critical Care Medicine, Jinling hospital medical school of Nanjing University, Nanjing 210002, China
    7. Department of Critical Care Medicine, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
    8. Department of Critical Care Medicine, Guangzhou Red Cross Hospital, Guangzhou 510220, China
    9. Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
  • Received:2017-01-04 Online:2017-05-28 Published:2017-05-28
  • Contact: Yun Long
  • About author:
    Corresponding author: Long Yun, Email:

Abstract:

Multi-trauma is the most common type of trauma leading to ICU admission, also with a higher mortality in early phase. The most challenging aspect in the management of multi-trauma in the acute phase is how to deal with the injury reasonablely and timely. The management of multi-trauma could be divided into 3 stages: initial ABC assessment and treatment, screening for the most life-threatening injuries and handling, systematic screening of the occult injury. Each of the stages must be clearly defined and the timing of the treatment in each stage should be completed without any delay. The priority of management, as well as the resuscitation for acute multi-trauma should be standardized,with a purpose to decrease the mortality and morbidity.

Key words: Multi-trauma, Protocol, Intensive care unit

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