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Trauma Guidelines
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Emergency ward
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FAST/extended FAST
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C-circulation
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Adrenergetic support- is not a rescue therapy
Active approach:
early on-early off
Adremomymetic support: don’t wait too
late
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Balanced crystalloid resuscitation
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Sterofundin ISO-safe decision
Осмол pH BE Глюкоза Na+ Cl- K+ Mg2+ Ca2+ Малат- Лактат Ацетат
280
300 7,5 +1 10 145 127
100 140 0 -1 4,5
5
3
3
2
2
0
10
1
0
0
30
20
Safe decision means that:
the fluid is optimal for 95% of
patients
the fluid is safe for other 5%
Sterofundin
no lactate
BEpot = 0 mmol/l
Balanced electrolytes
Safe corridor
Sterofundin
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ICP-monitoring; CPP monitoring
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Pressure Support with APRV
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Alternative modes of ventilation - BIPHASIC, APRV
these modes of ventilation permit to solve the antagonism between MV and spontaneous breathing and the result is:
activization of spontaneous breathing
venous return cardiac output ventilation of basal parts
of lungs needs in sedation
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HFOV
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HFOV Conventional ventilation
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HFOV
Safety window
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Carney et al. Crit Care Med 2005;33:S122-S128
Unstable alveoles during CMV and HFOV
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HFOV
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