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In this episode, host Alyssa Watson, DVM, is joined by Alex Blutinger, VMD, DACVECC, to talk about his recent Clinician’s Brief article, “Stabilization Following Vehicular Trauma Prior to Tertiary Referral.” Dr. Blutinger gives a thorough review of the approach to trauma cases—emphasizing management of hemorrhages—and the steps we can take to stabilize these patients. He also shares a helpful mnemonic to keep in mind because the last thing you need when dealing with these stressful cases is wondering what to do next (or first)!
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Key Takeaways
Vehicular trauma and deceleration trauma (e.g., high-rise syndrome) are the most common forms of blunt force trauma.
XABCD: eXsanguination, Airway, Breathing, Circulation, neurologic Disability
In any trauma patient, assume there’s hemorrhage until proven otherwise.
Low-volume fluid resuscitation (10-15 mL/kg of an isotonic crystalloid) has become the preferred first step to attempting stabilization without diluting circulating red cells and platelets.
Hypothermia can contribute to poor outcomes.
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