The American Journal of Surgery
Volume 192, Issue 6 , Pages 727-731 , December 2006

Systemic hypotension is a late marker of shock after trauma: a validation study of Advanced Trauma Life Support principles in a large national sample

Presented at the 58th Annual Meeting of the Southwestern Surgical Congress, Kauai, Hawaii, April 3–7, 2006

  • Jennifer K. Parks, M.P.H.

      Affiliations

    • Department of Surgery, Division of Burns, Trauma, Surgical Critical Care, 5323 Harry Hines Blvd., Dallas, TX 75390-9158, USA
    • ,
  • Alan C. Elliott, M.A.S., M.B.A.

      Affiliations

    • Department of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, TX, USA
    • ,
  • Larry M. Gentilello, M.D.

      Affiliations

    • Department of Surgery, Division of Burns, Trauma, Surgical Critical Care, 5323 Harry Hines Blvd., Dallas, TX 75390-9158, USA
    • ,
  • Shahid Shafi, M.D., M.P.H.

      Affiliations

    • Department of Surgery, Division of Burns, Trauma, Surgical Critical Care, 5323 Harry Hines Blvd., Dallas, TX 75390-9158, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-214-648-7214; fax: +1-214-648-5477.

Received 15 April 2006 ,Revised 10 August 2006

References 

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  2. American College of Surgeons. Advanced Trauma Life Support (Student Manual). Chicago: American College of Surgeons; 1997;
  3. Heckbert SR, Vedder NB, Hoffman W, et al. Outcome after hemorrhagic shock in trauma patients. J Trauma. 1998;45:545–549
  4. Criddle LM, Eldredge DH, Walker J. Variables predicting trauma patient survival following massive transfusion. J Emerg Nurs. 2005;31:236–242
  5. Frankema SP, Steyerberg EW, Edwards MJ, et al. Comparison of current injury scales for survival chance estimation: an evaluation comparing the predictive performance of the ISS, NISS, and AP scores in a Dutch local trauma registration. J Trauma. 2005;58:596–604
  6. Millham FH, LaMorte WW. Factors associated with mortality in trauma: re-evaluation of the TRISS method using the National Trauma Data Bank. J Trauma. 2004;56:1090–1096
  7. Vassar MJ, Lewis FR, Chambers JA, et al. Prediction of outcome in intensive care unit trauma patients: a multicenter study of Acute Physiology and Chronic Health Evaluation (APACHE), Trauma and Injury Severity Score (TRISS), and a 24-hour intensive care unit (ICU) point system. J Trauma. 1999;47:324–329
  8. Gando S, Nanzaki S, Kemmotsu O. Disseminated intravascular coagulation and sustained systemic inflammatory response syndrome predict organ dysfunctions after trauma: application of clinical decision analysis. Ann Surg. 1999;229:121–127
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  12. Holcroft J. Shock. In:  Wilmore D,  Fink M editor. ACS Surgery: Principles and Practice. 1st ed.. New York: WebMD Corporation; 2001;p. 1–14
  13. Rixen D, Raum M, Holzgraefe B, et al. A pig hemorrhagic shock model: oxygen debt and metabolic acidemia as indicators of severity. Shock. 2001;16:239–244
  14. Shafi S, Kauder DR. Fluid resuscitation and blood replacement in patients with polytrauma. Clin Orthop. 2004;422:37–42
  15. Davis JW, Shackford SR, Holbrook TL. Base deficit as a sensitive indicator of compensated shock and tissue oxygen utilization. Surg Gynecol Obstet. 1991;173:473–476
  16. Davis JW, Shackford SR, Mackersie RC, et al. Base deficit as a guide to volume resuscitation. J Trauma. 1988;28:1464–1467
  17. American College of Emergency Physicians. Guidelines for Trauma Care Systems. Dallas: American College of Emergency Physicians; 1988;
  18. American College of Surgeons—Committee on Trauma. Resources for Optimal Care of the Injured Patient. Chicago: American College of Surgeons; 1998;
  19. Champion HR, Sacco WJ, Copes WS, et al. A revision of the Trauma Score. J Trauma. 1989;29:623–629
  20. Abou-Khalil B, Scalea TM, Trooskin SZ, et al. Hemodynamic responses to shock in young trauma patients: need for invasive monitoring. Crit Care Med. 1994;22:633–639
  21. Chien S, Dellenback RJ, Usami S, et al. Blood volume, hemodynamic, and metabolic changes in hemorrhagic shock in normal and splenectomized dogs. Am J Physiol. 1973;225:866–879
  22. Bendjelid K, Schutz N, Stotz M, et al. Transcutaneous PCO2 monitoring in critically ill adults: clinical evaluation of a new sensor. Crit Care Med. 2005;33:2203–2206
  23. Brimacombe J, Keller C, Margreiter J. A pilot study of left tracheal pulse oximetry. Anesth Analg. 2000;91:1003–1006
  24. Cooke WH, Convertino VA. Heart rate variability and spontaneous baroreflex sequences: implications for autonomic monitoring during hemorrhage. J Trauma. 2005;58:798–805
  25. Ward KR, Ivatury RR, Barbee RW, et al. Near infrared spectroscopy for evaluation of the trauma patient: a technology review. Resuscitation. 2006;68:27–44

PII: S0002-9610(06)00586-1

doi: 10.1016/j.amjsurg.2006.08.034

The American Journal of Surgery
Volume 192, Issue 6 , Pages 727-731 , December 2006

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