TY - JOUR
T1 - Cruciform position for trauma resuscitation
AU - Mitra, Biswadev
AU - Fitzgerald, Mark C.
AU - Olaussen, Alexander
AU - Thaveenthiran, Prasanthan
AU - Bade-Boon, Jordan
AU - Martin, Katherine
AU - De Villiers Smit, Pieter
AU - Cameron, Peter A.
PY - 2017/4/1
Y1 - 2017/4/1
N2 - Multiply injured patients represent a particularly demanding subgroup of trauma patients as they require urgent simultaneous clinical assessments using physical examination, ultrasound and invasive monitoring together with critical management, including tracheal intubation, thoracostomies and central venous access. Concurrent access to multiple body regions is essential to facilitate the concept of 'horizontal' resuscitation. The current positioning of trauma patient, with arms adducted, restricts this approach. Instead, the therapeutic cruciform positioning, with arms abducted at 90°, allows planning and performing of multiple life-saving interventions simultaneously. This positioning also provides a practical surgical field with improved sterility and procedural access.
AB - Multiply injured patients represent a particularly demanding subgroup of trauma patients as they require urgent simultaneous clinical assessments using physical examination, ultrasound and invasive monitoring together with critical management, including tracheal intubation, thoracostomies and central venous access. Concurrent access to multiple body regions is essential to facilitate the concept of 'horizontal' resuscitation. The current positioning of trauma patient, with arms adducted, restricts this approach. Instead, the therapeutic cruciform positioning, with arms abducted at 90°, allows planning and performing of multiple life-saving interventions simultaneously. This positioning also provides a practical surgical field with improved sterility and procedural access.
KW - Emergency department
KW - Resuscitation
KW - Shock
KW - Wounds and injuries
UR - http://www.scopus.com/inward/record.url?scp=85014063484&partnerID=8YFLogxK
U2 - 10.1111/1742-6723.12753
DO - 10.1111/1742-6723.12753
M3 - Article
AN - SCOPUS:85014063484
VL - 29
SP - 252
EP - 253
JO - Emergency Medicine Australasia
JF - Emergency Medicine Australasia
SN - 1742-6731
IS - 2
ER -