Hemodynamic Patterns of Blunt and Penetrating Injuries

摘要: Background The aims of this prospective observational study were to describe early hemodynamic patterns blunt and penetrating truncal injury evaluate outcomes prediction using noninvasive monitoring with a mathematical model tested against actual in-hospital outcomes. hypothesis was that traumatic shock is circulatory disorder can be monitored by parameters reflect cardiac, pulmonary, tissue perfusion functions. Study design cardiac index (CI), heart rate (HR), mean arterial pressure (MAP), pulse oximetry (SapO 2 ), transcutaneous oxygen tension indexed FiO (PtcO /FiO carbon dioxide (PtcCO ) tensions beginning shortly after emergency department admission in 657 patients severe chest, abdominal, extremity trauma. Of these, 113 had associated head injury, these also analyzed separately. A search display model, decision support program, based on continuous online, real-time, monitoring. Results There similar the injuries; index, pressure, oximetry, , survival probability values survivors significantly higher (p Conclusions Early computerized information system provided feasible pattern recognition program for therapeutic support.