ID 55433
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Author
Yumoto, Tetsuya Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
Kosaki, Yoshinori Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
Yamakawa, Yasuaki Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
Iida, Atsuyoshi Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
Yamamoto, Hirotsugu Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
Yamada, Taihei Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
Tsukahara, Kohei Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
Naito, Hiromichi Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
Osako, Takaaki Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
Nakao, Atsunori Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
Abstract
Worldwide, hemorrhagic shock in major trauma remains a major potentially preventable cause of death. Controlling bleeding and subsequent coagulopathy is a big challenge. Immediate assessment of unidentified bleeding sources is essential in blunt trauma patients with hemorrhagic shock. Chest/pelvic X-ray in conjunction with ultrasonography have been established classically as initial diagnostic imaging modalities to identify the major sources of internal bleeding including intra-thoracic, intra-abdominal, or retroperitoneal hemorrhage related to pelvic fracture. Massive soft tissue injury, regardless of whether isolated or associated with multiple injuries, occasionally causes extensive hemorrhage and acute traumatic coagulopathy. Specific types of injuries, including soft tissue injury or retroperitoneal hemorrhage unrelated to pelvic fracture, can potentially be overlooked or be considered “occult” causes of bleeding because classical diagnostic imaging often cannot exclude such injuries. The purpose of this narrative review article is to describe “occult” or unusual sources of bleeding associated with blunt trauma.
Keywords
soft tissue injury
subcutaneous hematoma
non-cavitary hemorrhage
retroperitoneal hemorrhage
hemorrhagic shock
Amo Type
Review
Published Date
2017-10
Publication Title
Acta Medica Okayama
Volume
volume71
Issue
issue5
Publisher
Okayama University Medical School
Start Page
363
End Page
368
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
Copyright Holders
CopyrightⒸ 2017 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID