Pharmacology and clinical use of plasma expanders

Aug 20, 2020 by in ANESTHESIA Comments Off on Pharmacology and clinical use of plasma expanders

Abstract Plasma expanders are colloidal solutions that expand the circulating blood volume more than isotonic crystalloids and are among the most commonly used fluids in critical care and perioperative medicine…

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Major incidents

Aug 20, 2020 by in ANESTHESIA Comments Off on Major incidents

Abstract A major incident is one that causes casualties on a scale beyond the usual capabilities of the emergency and healthcare services usual ability to manage. Major incident planning and…

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The metabolic and endocrine response to trauma

Aug 20, 2020 by in ANESTHESIA Comments Off on The metabolic and endocrine response to trauma

Abstract Metabolic and endocrine pathways are central to the body’s compensatory response to trauma. They drive mobilization of energy substrates, volume conservation and haemostasis via activation of the hypothalamic pituitary…

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Spinal cord injury

Aug 20, 2020 by in ANESTHESIA Comments Off on Spinal cord injury

Abstract In the UK, the annual incidence of acute spinal cord injury (SCI) is 19 new cases per million population, contributing to an estimated 50,000 people who are currently living…

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Drowning and immersion injury

Aug 20, 2020 by in ANESTHESIA Comments Off on Drowning and immersion injury

Abstract Drowning is a frequent cause of accidental deaths and injuries, resulting in a significant but preventable global health problem. It is characterized by respiratory impairment due to submersion of…

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Chest trauma

Aug 20, 2020 by in ANESTHESIA Comments Off on Chest trauma

Abstract This article summarizes major life-threatening injuries in thoracic trauma. It explores the immediate approach to a patient presenting with thoracic trauma including diagnostics and pertinent invasive procedures. This is…

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Management of shock in trauma

Aug 20, 2020 by in ANESTHESIA Comments Off on Management of shock in trauma

Abstract Shock is defined as failure of the circulatory system resulting in a level of perfusion to tissues, which is inadequate to meet the oxygen demands of cellular metabolism. Haemorrhagic…

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Management of major trauma

Aug 20, 2020 by in ANESTHESIA Comments Off on Management of major trauma

Abstract Trauma is one of the leading cause of deaths in those <35 years old in the UK. It also has a significant morbidity burden with a subsequent economic impact….

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Pain priorities in pre-hospital care

Aug 20, 2020 by in ANESTHESIA Comments Off on Pain priorities in pre-hospital care

Abstract Pain management in the pre-hospital environment is a priority following life- and limb-saving manoeuvres. Pain should be assessed, documented and managed according to a multimodal model. Even in the…

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