ID | 55433 |
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Author |
Yumoto, Tetsuya
Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
ORCID
Kaken ID
publons
Kosaki, Yoshinori
Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
Yamakawa, Yasuaki
Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
Kaken ID
Iida, Atsuyoshi
Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
researchmap
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
publons
Naito, Hiromichi
Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
ORCID
Kaken ID
publons
Osako, Takaaki
Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
Nakao, Atsunori
Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
Kaken ID
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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.
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Keywords | soft tissue injury
subcutaneous hematoma
non-cavitary hemorrhage
retroperitoneal hemorrhage
hemorrhagic shock
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Amo Type | Review
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Publication Title |
Acta Medica Okayama
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Published Date | 2017-10
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Volume | volume71
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Issue | issue5
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Publisher | Okayama University Medical School
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Start Page | 363
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End Page | 368
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ISSN | 0386-300X
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NCID | AA00508441
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Content Type |
Journal Article
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language |
English
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Copyright Holders | CopyrightⒸ 2017 by Okayama University Medical School
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File Version | publisher
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Refereed |
True
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PubMed ID |