Journal of the Japanese Association for the Surgery of Trauma
Online ISSN : 2188-0190
Print ISSN : 1340-6264
ISSN-L : 1340-6264
Review Article
RAPID AND SEAMLESS RESCUE, RESUSCITATION, REPAIR, AND REHABILITATION PLAY IMPORTANT ROLES IN THE SUCCESS OF TRAUMA TREATMENT
Shigeki HIKIDATeruo SAKAMOTO
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JOURNALS FREE ACCESS

2013 Volume 27 Issue 2 Pages 69-76

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Abstract

  Rescue, resuscitation, repair, and rehabilitation are indispensable for the success of trauma treatment. Each of these phases has factors that need to be performed rapidly. During the rescue phase, rapid triage and pre-hospital treatment enable the right patient to be taken to the right place at the right time. The following are used during the resuscitation phase : rapid infusion and prompt transfusion for treating circulation disturbance and coagulopathy caused by exsanguinating hemorrhage ; real-time blood-chemical and imaging tests for diagnosing systemic severity and detecting injury sites. Early neurological protection for traumatic brain injury to prevent fatal brain swelling and prompt surgical decisions and advanced skills for successful damage control surgery are also essential. Immediate acute phase rehabilitation and posttraumatic stress disorder treatment and smooth transition from acute to recovery phase rehabilitation are important during rehabilitation. For effective trauma treatment, seamless transitions from pre-hospital to hospital and from phase to phase are also necessary. Additionally, we have reviewed the literature on current treatments and the future prospects of organ transplantation and regenerative medicine for trauma treatment.

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© 2013 The Japanese Association for the Surgery of Trauma
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