Monitoring of the Trauma Victim.
Abstract
Physiologic patterns of over 20 precisely defined etiologic types of shock were described by over 11,000 sets of sequential cardiorespiratory measurements; each set consisted of up to 35 primary and derived variables. In order to describe the natural histories of each shock syndrome only cardiorespiratory data obtained remote from therapy were used before therapy was started or after the immediate, direct cardiovascular effects of the therapy were spent. The underlying common denominator in each of these shock syndromes was decreased O2 consumption (VO2) in the early hypotensive period; this often occurred before the patient was recognized to be in shock. Thus, the lesion in shock is not just low flow, but more often, as in septic and traumatic shock, it is uneven flow; i.e., maldistributed flow with inadequate tissue oxygenation manifest by reduced VO2. Distinct differences were shown in the physiologic patterns of survivors and nonsurvivors of life-threatening trauma despite a wide variety of traumatic disorders. A method was developed for prediction of survival after life-threatening trauma and surgical operations.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jul 01, 1973
- Accession Number
- ADA044726
Entities
People
- William C. Shoemaker
Organizations
- Icahn School of Medicine at Mount Sinai