Diagnosis and management of major trauma.
A regional trauma system involving trained hospital teams as well as physician-manned ambulances and helicopters has been established in Norway. Emphasis is on written guidelines and the continuous evaluation of the results. A grading system of injury severity is used. Despite major advances in the initial treatment of shock and major trauma, posttraumatic pulmonary insufficiency still represents a problem. Our results indicate a beneficial effect of the early prophylactic use of high-dose corticosteroids in major chest trauma. The use of three doses of methylprednisolone was not associated with any increased risk of infection.
Svennevig
J L
JL
Department of Thoracic and Cardiovascular Surgery, Rikshospitalet, Oslo, Norway.
D006470:Hemorrhage / Q000628:therapy; D006801:Humans; D008775:Methylprednisolone / Q000627:therapeutic use; D009664:Norway; D012128:Respiratory Distress Syndrome / Q000628:therapy; D013898:Thoracic Injuries / Q000188:drug therapy; D014947:Wounds and Injuries / Q000175:diagnosis* / Q000628:therapy*
D008775:Methylprednisolone