Acute Care Management of a Patient with Multiple Trauma: Difference between revisions
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== Introduction == | == Introduction == | ||
Early acute care rehabilitation initiated on the Intensive Care Unit has a positive effect on patient's functional status, muscle strength, mechanical ventilation duration, walking ability at discharge, and health quality of life.<ref name=":0">Arias-Fernández P, Romero-Martin M, Gómez-Salgado J, Fernández-García D. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6127491/pdf/jpts-30-1193.pdf Rehabilitation and early mobilization in the critical patient: systematic review]. J Phys Ther Sci. 2018 Sep;30(9):1193-1201. </ref>Patients with multiple trauma must often overcome the effects of the use of mechanical ventilation, administration of drugs, sedatives, analgesics, and drugs to control their anxiety and agitation. <ref name=":0" />The secondary complications may include joint contractures, thromboembolism, pressure ulcers, pneumonia, difficulties with weaning off the ventilator, delirium, and development of disabilities. <ref name=":0" />There is a social impact of a prolonged hospitalisation with increased days without income, inability to provide for family and inability to fulfill previously established social roles. This article provides an overview of the multiple systems assessment of a patient with a complex injury during an acute care hospitalisation | Early acute care rehabilitation initiated on the Intensive Care Unit has a positive effect on patient's functional status, muscle strength, mechanical ventilation duration, walking ability at discharge, and health quality of life.<ref name=":0">Arias-Fernández P, Romero-Martin M, Gómez-Salgado J, Fernández-García D. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6127491/pdf/jpts-30-1193.pdf Rehabilitation and early mobilization in the critical patient: systematic review]. J Phys Ther Sci. 2018 Sep;30(9):1193-1201. </ref>Patients with multiple trauma must often overcome the effects of the use of mechanical ventilation, administration of drugs, sedatives, analgesics, and drugs to control their anxiety and agitation. <ref name=":0" />The secondary complications may include joint contractures, thromboembolism, pressure ulcers, pneumonia, difficulties with weaning off the ventilator, delirium, and development of disabilities. <ref name=":0" />There is a social impact of a prolonged hospitalisation with increased days without income, inability to provide for family and inability to fulfill previously established social roles. This article provides an overview of the multiple systems assessment of a patient with a complex injury during an acute care hospitalisation. | ||
== Multiple Team Approach == | == Multiple Trauma == | ||
<blockquote>"Major trauma refers to physical injury or a combination of injuries where there is a strong possibility of death or disability and is commonly defined using an Injury Severity Score10 threshold of 15."<ref>Naess HL, Vikane E, Wehling EI, Skouen JS, Bell RF, Johnsen LG. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7853396/pdf/main.pdf Effect of Early Interdisciplinary Rehabilitation for Trauma Patients: A Systematic Review.] Arch Rehabil Res Clin Transl. 2020 Jun 25;2(4):100070.</ref></blockquote>The Injury Severity Score allows to describe severity of injury in a trauma patient. It includes the assessment of 6 body systems that receive scores according the Abbreviated Injury Scale. A score greater that 15 defines major trauma. <ref>Javali RH, Krishnamoorthy, Patil A, Srinivasarangan M, Suraj, Sriharsha. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6487611/pdf/ijccm-23-73.pdf Comparison of Injury Severity Score, New Injury Severity Score, Revised Trauma Score and Trauma and Injury Severity Score for Mortality Prediction in Elderly Trauma Patients.] Indian J Crit Care Med. 2019 Feb;23(2):73-77. </ref> | |||
== Interdisciplinary Team Approach == | |||
interdisciplinary model the team members work together, both in treatment and goal setting. Early rehabilitation interventions prevent complications and promote recovery. A successful | |||
== Sub Heading 3 == | == Sub Heading 3 == |
Revision as of 21:56, 25 April 2024
Original Editor - User Name
Top Contributors - Ewa Jaraczewska and Jess Bell
Introduction[edit | edit source]
Early acute care rehabilitation initiated on the Intensive Care Unit has a positive effect on patient's functional status, muscle strength, mechanical ventilation duration, walking ability at discharge, and health quality of life.[1]Patients with multiple trauma must often overcome the effects of the use of mechanical ventilation, administration of drugs, sedatives, analgesics, and drugs to control their anxiety and agitation. [1]The secondary complications may include joint contractures, thromboembolism, pressure ulcers, pneumonia, difficulties with weaning off the ventilator, delirium, and development of disabilities. [1]There is a social impact of a prolonged hospitalisation with increased days without income, inability to provide for family and inability to fulfill previously established social roles. This article provides an overview of the multiple systems assessment of a patient with a complex injury during an acute care hospitalisation.
Multiple Trauma[edit | edit source]
"Major trauma refers to physical injury or a combination of injuries where there is a strong possibility of death or disability and is commonly defined using an Injury Severity Score10 threshold of 15."[2]
The Injury Severity Score allows to describe severity of injury in a trauma patient. It includes the assessment of 6 body systems that receive scores according the Abbreviated Injury Scale. A score greater that 15 defines major trauma. [3]
Interdisciplinary Team Approach[edit | edit source]
interdisciplinary model the team members work together, both in treatment and goal setting. Early rehabilitation interventions prevent complications and promote recovery. A successful
Sub Heading 3[edit | edit source]
Resources[edit | edit source]
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References[edit | edit source]
- ↑ 1.0 1.1 1.2 Arias-Fernández P, Romero-Martin M, Gómez-Salgado J, Fernández-García D. Rehabilitation and early mobilization in the critical patient: systematic review. J Phys Ther Sci. 2018 Sep;30(9):1193-1201.
- ↑ Naess HL, Vikane E, Wehling EI, Skouen JS, Bell RF, Johnsen LG. Effect of Early Interdisciplinary Rehabilitation for Trauma Patients: A Systematic Review. Arch Rehabil Res Clin Transl. 2020 Jun 25;2(4):100070.
- ↑ Javali RH, Krishnamoorthy, Patil A, Srinivasarangan M, Suraj, Sriharsha. Comparison of Injury Severity Score, New Injury Severity Score, Revised Trauma Score and Trauma and Injury Severity Score for Mortality Prediction in Elderly Trauma Patients. Indian J Crit Care Med. 2019 Feb;23(2):73-77.