[Management of hemorrhage in patients with abdominal trauma: application of the European Guidelines for the management of bleeding following major trauma].
In patients with traumatic intraabdominal hemorrhage, urgent decisions must be made. Resuscitation measures must often be simultaneously combined with diagnostic actions and measures to control the source of the bleeding. Hemorrhages are usually complicated by coagulation disorders and the presence of acidosis and hypothermia. In these conditions, emergency measures are required that usually involve various specialists. However, given the paucity of the scientific evidence in this field, the intervention protocols differ from one center to another. The European Guidelines for the management of bleeding following major trauma has recently been published. These guidelines review aspects such as evaluation and initial management of bleeding, localization and control of the source of bleeding and replacement of blood products. In addition, recommendations based on the best available evidence to 2008 are made. This review describes the basic aspects of traumatic intraabdominal hemorrhage.
Fernández-Mondéjar
Enrique
E
Unidad de Cuidados Intensivos, Hospital de Traumatología, Hospital Universitario Virgen de las Nieves, Granada, España. enrique.fernandez.mondejar.sspa@juntadeandalucia.es
Pino-Sánchez
Francisca
F
Tuero León
Gaspar
G
Rodríguez Bolaños
Sandra
S
Castán Ribas
Patricia
P
D000007:Abdominal Injuries / Q000150:complications*; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D015601:Injury Severity Score; D017410:Practice Guidelines as Topic