SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2017
Definition of hemodynamic stability in blunt trauma patients: a systematic review and assessment amongst Dutch trauma team members.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- ESR Essentials: blunt abdominal trauma in adult patients: vascular injuries to solid organs and mesentery-practice recommendations by the European Society of Emergency Radiology.European radiology · 2026Guideline
- The role of angioembolization in the management of blunt renal injuries: a systematic review.BMC urology · 2021Pooled it
- Ionised calcium levels during trauma resuscitation in predicting outcomes-a prospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Renal angioembolization vs. surgery for high-grade renal trauma: a nationwide comparative analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Damage Control Interventional Radiology in Liver Trauma: A Comprehensive Review.Journal of personalized medicine · 2024Review
- The use of whole body computed tomography does not lead to increased 24-h mortality in severely injured patients in circulatory shock.Scientific reports · 2024Observational
- Surgical Treatment versus Conservative Management of Splenic Rupture: Outcomes and Risk Factors.Bulletin of emergency and trauma · 2024Article
- Our Surgical Results in Popliteal and Infrapopliteal Artery Injuries: 21 Cases without Amputation.Emergency medicine international · 2024Article
- Factors affecting and effects of hemodynamic stability of pediatric patients with grades 3-5 renal trauma: a prospective non-randomized comparative study.BMC urology · 2023Article
- Article
- The effect of restrictive fluid management on outcomes among geriatric hip fractures: a retrospective cohort study at five level I trauma centers.OTA international : the open access journal of orthopaedic trauma · 2023Article
- Alterations in tissue oxygen saturation measured by near-infrared spectroscopy in trauma patients after initial resuscitation are associated with occult shock.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Observational
- Effect of C-Clamp Application on Hemodynamic Instability in Polytrauma Victims with Pelvic Fracture.Medicina (Kaunas, Lithuania) · 2022Article
- Relationship between door-to-embolization time and clinical outcomes after transarterial embolization in trauma patients with complex pelvic fracture.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Management of pediatric blunt abdominal trauma in a Dutch level one trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Application of Contrast-Enhanced Ultrasonography (CEUS) in the Assessment of Kidney Wound Recovery After Nephron-Sparing Surgery.Cancer management and research · 2021Article
- Non-operative management of blunt abdominal solid organ trauma in adult patients.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020Article
- Conventional angiography findings in hemodynamically unstable patients with acute abdominal hemorrhage and a negative CT bleeding study.CVIR endovascular · 2020Article
- Helicopter Emergency Medical Service (HEMS) Response in Rural Areas in Poland: Retrospective Study.International journal of environmental research and public health · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTrauma is a great contributor to mortality worldwide. One of the challenges in trauma care is early identification and management of bleeding. The circulatory status of blunt trauma patients in the emergency room is evaluated using hemodynamic (HD) parameters. However, there is no consensus on which parameters to use. In this study, we evaluate the used terms and definitions in the literature for HD stability and compare those to the opinion of Dutch trauma team members.
methodA systematic review was performed to collect the definitions used for HD stability. Studies describing the assessment and/or treatment of blunt trauma patients in the emergency room were included. In addition, an online survey was conducted amongst Dutch trauma team members.
resultsOut of a total of 222, 67 articles were found to be eligible for inclusion. HD stability was defined in 70% of these articles. The most used parameters were systolic blood pressure and heart rate. Besides the variety of parameters, a broad range of corresponding cut-off points is noted. Despite some common ground, high inter- and intra-variability is seen for the physicians that are part of the Dutch trauma teams.
conclusionAll authors acknowledge HD stability as the most important factor in the assessment and management of blunt trauma patients. There is, however, no consensus in the literature as well as none-to-fair consensus amongst Dutch trauma team members in the definition of HD stability. A trauma team ready to co-operate with consensus-based opinions together with a valid scoring system is in our opinion the best method to assess and treat seriously injured trauma patients.
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