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How I approach treatment of the trauma patient

Talk Overview
Traumatic shock presumes hypovolaemia, the most common form of shock seen in veterinary patients. The early restoration of tissue perfusion and maintenance of tissue oxygenation is essential in achieving a positive outcome. The ABCDE of trauma medicine pneumonic applies for immediate action in the trauma patient. Blood volume reestablishment is the mainstay of traumatic shock therapy. Ensuring the patient’s airway, establishing adequate oxygenation & ventilation, restoring blood volume take preference over the next most important categories, the central nervous system and the abdomen. This concept is the crux of this session. Targeted end-point resuscitation parameters in the trauma patient will highlight the discussion, along with bedside diagnostic tests to aid in diagnosis, monitoring, and assessing response to treatment – some examples include the haematocrit, blood lactate levels, the use of radiology and/or ultrasonography and techniques such as abdominocentesis & thoracocentesis. Concepts of Shock Index and Animal Trauma Triage Score seen in emergency papers will be introduced and the lecture will finish with a suggested practical protocol for resuscitation of the trauma patient that can be followed by every veterinary practice. 
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