Cruciform position for trauma resuscitation

Biswadev Mitra, Mark C. Fitzgerald, Alexander Olaussen, Prasanthan Thaveenthiran, Jordan Bade-Boon, Katherine Martin, Pieter De Villiers Smit, Peter A. Cameron

Research output: Contribution to journalArticleOtherpeer-review

1 Citation (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)252-253
Number of pages2
JournalEmergency Medicine Australasia
Volume29
Issue number2
DOIs
Publication statusPublished - 1 Apr 2017

Keywords

  • Emergency department
  • Resuscitation
  • Shock
  • Wounds and injuries

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