Pulmonary artery monitoring in the emergency department.
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Biomedical subjects
Publications and source records attributed to S K Sedlak.
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Trauma patients are at risk for a number of complications that can jeopardize their ability to withstand the effects of injury. A serious and common problem is hypothermia, which can be caused or exacerbated by interventions used in resuscitation, surgery, and postoperative care. The trauma nurse has a primary responsibility in recognizing and beginning therapy to correct this potentially lethal condition. Many nursing measures can be modified to help the patient retain body heat or provide an exogenous source of warmth.
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Clearly, the reasons for the blood loss of the patient described herein were multifactorial. In addition to the scalp and perineal lacerations, she had multiple bone fractures. Her hypothermic condition, head injury, and acidotic state were factors that could lead to coagulopathies. Lastly, multiple transfusions may have exacerbated the above problems both by hemodilution and further decreasing core temperature. Caring for patients like this one is a challenge to the trauma team and requires expert knowledge to anticipate, identify, and treat the wide variety of potential complications that can contribute to bleeding.