Anaes Cases · Trauma & massive haemorrhage
Penetrating trauma and damage control resuscitation
Long case — penetrating abdominal trauma. MTP activation, permissive hypotension (MAP 50-65), 1-to-1-to-1, tranexamic acid (early), calcium, warming, viscoelastic-guided, damage control surgery, and team.
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ANZCAFRCAABAEDAIC
Prompt
A 28-year-old man with stab wound to abdomen, haemorrhagic shock, for emergency laparotomy. Discuss the anaesthetic and resuscitation.
Presentation
A 28-year-old man, single stab wound to left upper quadrant, systolic BP 70 mmHg, heart rate 130, confused, cold, pale. FAST scan positive (intra-abdominal blood). He is taken to theatre for emergency laparotomy. Discuss the anaesthetic and resuscitation.
References3ShowHide
- [2]Singhal S, et al. Management of acute hemorrhage and damage-control resuscitation. Tech Vasc Interv Radiol, 2026.PMID 42230073
- [4]Winearls J, et al. Clinical outcomes of hemostatic interventions. J Trauma Acute Care Surg, 2026.PMID 42296330
- [42296331]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.