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Integrated major haemorrhage management in the retrieval setting: Damage control resuscitation from referral to receiving facility
Journal article   Peer reviewed

Integrated major haemorrhage management in the retrieval setting: Damage control resuscitation from referral to receiving facility

Julian D Wijesuriya and Sean Keogh
Emergency Medicine Australasia, Vol.29(4), pp.470-475
2017
url
https://doi.org/10.1111/1742-6723.12742View
Published Version

Abstract

clinical coordination major haemorrhage pre-hospital emergency medicine retrieval medicine
Major haemorrhage is a leadingcau se of de ath in critically ill orinj ured patients requiring medicalretrieval and presents significant clini-cal and logistic cha llenges irrespectiveof pat ient location, primary patho-physiology or mode of transport. It isessential that all care providersinvolved in the retrieval patient path-way, including referring hospitals,ambulance services, retrieval teamsand tertiary receiving centres, adopt acommon approach to the manage-ment of this complex patient groupthr ough the use of retrieva l-specific,integrated protocols. These shouldinc orporate the latest clini cal evid enc ebase, recognise the differences betweenpr imary and inter-facility mi ssionsand clearly define the roles andre spon sibilities of the ret ri eval clinicalcoo rdinator. By unifying the respo nseac ross services, the aim is to f acilitateseamless transition of care with ongo-ing damage control resuscitation frompoint of referral, during transfer andon arrival at the receiving centre.

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