The treatment concept for severe trauma has greatly changed. In developed countries, the trauma mortality pattern has shifted from a three-peak curve to a singlet curve, resulting in a standard pattern in which multi-...The treatment concept for severe trauma has greatly changed. In developed countries, the trauma mortality pattern has shifted from a three-peak curve to a singlet curve, resulting in a standard pattern in which multi-disciplinary surgeons take responsibility of the whole treatment course. Life-saving operations for recovering the airway, respiratory and circulatory functions also belong to resuscitation. Focus on in-hospital trauma evaluation should be distinguished in different stages following the concept of "the faster the better". In the process of treatment, surgeons should control the pre-operation time, surgery time, and time to achieve resuscitation endpoints, with planned and staged damage control strategies by following the treatment order of ventilation, operation, bleeding control, infusion and pulsation.展开更多
文摘The treatment concept for severe trauma has greatly changed. In developed countries, the trauma mortality pattern has shifted from a three-peak curve to a singlet curve, resulting in a standard pattern in which multi-disciplinary surgeons take responsibility of the whole treatment course. Life-saving operations for recovering the airway, respiratory and circulatory functions also belong to resuscitation. Focus on in-hospital trauma evaluation should be distinguished in different stages following the concept of "the faster the better". In the process of treatment, surgeons should control the pre-operation time, surgery time, and time to achieve resuscitation endpoints, with planned and staged damage control strategies by following the treatment order of ventilation, operation, bleeding control, infusion and pulsation.
