Priorities in the ICU care of the trauma patients
Konn, A.
Nihon Rinsho. Japanese Journal of Clinical Medicine 74(2): 225-230
2016
ISSN/ISBN: 0047-1852 PMID: 26915243 Document Number: 687430
Priority in ICU care of multiple trauma should be given to shock, respiratory failure, intracranial hypertension, and the identification of occult injuries. Diagnosis and treatment must occur simultaneously. If metabolic acidosis and hyperlactatemia persist despite normalization of vital signs, prolonged hypoperfusion may exist. Threshold of treatment for intracranial hypertension is 15 to 25 mmHg in accompanied traumatic brain injury. Stabilization of ABCDE should be prioritized in first 24 hours, followed by controlling double I (infection and ischemia). Early enteral nutrition has been estimated to reduce the incidence of infectious complication.