Trauma is recognized as a leading killer in the United States today. The development of trauma care systems and traumatology, as a response to this public health problem, has led to the evolution of the role of the trauma nurse. Assessment of the trauma patient is a challenging and demanding role for trauma nurses and is vitally important because the detection of potentially life-threatening injuries and development of standards of care for the resuscitation and management of the trauma patient are based on the initial assessment. The authors address the role of the nurse from preparation for the trauma patient's arrival to continuous monitoring and documentation responsibilities.
{"title":"Emergency department assessment of the adult trauma patient.","authors":"K Gallo, P Keane-Guercio","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Trauma is recognized as a leading killer in the United States today. The development of trauma care systems and traumatology, as a response to this public health problem, has led to the evolution of the role of the trauma nurse. Assessment of the trauma patient is a challenging and demanding role for trauma nurses and is vitally important because the detection of potentially life-threatening injuries and development of standards of care for the resuscitation and management of the trauma patient are based on the initial assessment. The authors address the role of the nurse from preparation for the trauma patient's arrival to continuous monitoring and documentation responsibilities.</p>","PeriodicalId":79423,"journal":{"name":"STN's journal of trauma nursing : the official journal of the Society of Trauma Nurses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18848192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The pregnant trauma patient with a blunt or penetrating injury presents a unique and challenging clinical situation. Two patients must be treated simultaneously: the mother and fetus. The author reviews the assessment changes of pregnancy, which can both mask and mimic injury. The unique injuries that occur in this patient population are described, including abruptio placentae, preterm labor, fetomaternal hemorrhage, and uterine and fetal trauma. Successful resuscitation of the pregnant trauma patient requires early and frequent collaboration with the obstetrical staff. Within a team approach, the dual assessment of mother and fetus can render prompt identification and treatment of injuries. Diagnostic tests, including laboratory data, radiographic exams, and abdominal and obstetrical procedures, are reviewed.
{"title":"Assessment and initial management of the pregnant trauma patient.","authors":"L G Smith","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The pregnant trauma patient with a blunt or penetrating injury presents a unique and challenging clinical situation. Two patients must be treated simultaneously: the mother and fetus. The author reviews the assessment changes of pregnancy, which can both mask and mimic injury. The unique injuries that occur in this patient population are described, including abruptio placentae, preterm labor, fetomaternal hemorrhage, and uterine and fetal trauma. Successful resuscitation of the pregnant trauma patient requires early and frequent collaboration with the obstetrical staff. Within a team approach, the dual assessment of mother and fetus can render prompt identification and treatment of injuries. Diagnostic tests, including laboratory data, radiographic exams, and abdominal and obstetrical procedures, are reviewed.</p>","PeriodicalId":79423,"journal":{"name":"STN's journal of trauma nursing : the official journal of the Society of Trauma Nurses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18848194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Who will care for the trauma patient under healthcare reform?","authors":"C A Walleck","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79423,"journal":{"name":"STN's journal of trauma nursing : the official journal of the Society of Trauma Nurses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18848193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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