Narrowed pulse pressure predicts massive transfusion and emergent operative intervention following penetrating trauma

The early identification of hemorrhagic shock may be challenging. The objective of this study was to examine the utility of a narrowed pulse pressure in identifying the need for emergent interventions following penetrating trauma. In this 2.5-year retrospective study of adult patients with a penetra...

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Bibliographic Details
Published in:The American journal of surgery 2019-12, Vol.218 (6), p.1185-1188
Main Authors: Warren, Jonathan, Moazzez, Ashkan, Chong, Vincent, Putnam, Brant, Neville, Angela, Singer, George, Deane, Molly, Kim, Dennis Y.
Format: Article
Language:English
Subjects:
Adult
Age
Blood Pressure
Blood Transfusion - statistics & numerical data
Blood transfusions
Female
Hemorrhage
Hemorrhagic shock
Humans
Hypotension - complications
Identification methods
Injuries
Intervention
Male
Massive transfusion
Mortality
Multivariate analysis
Ostomy
Penetrating
Population
Predictive Value of Tests
Pressure
Pulse pressure
Registries
Retrospective Studies
Shock
Studies
Surgery
Torso
Transfusion
Trauma
Trauma Centers
Variables
Vital signs
Wounds, Gunshot - surgery
Wounds, Penetrating - surgery
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Summary:The early identification of hemorrhagic shock may be challenging. The objective of this study was to examine the utility of a narrowed pulse pressure in identifying the need for emergent interventions following penetrating trauma. In this 2.5-year retrospective study of adult patients with a penetrating mechanism, patients with a narrowed pulse pressure (
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2019.08.022