Nursing challenges with a severely injured patient in critical care

摘要: BACKGROUND: Patients with severe, multiple, traumatic injuries are challenging to manage in critical care. Early identification of and optimal resuscitation is essential for favourable outcomes. Trauma-related haemorrhage can lead the lethal triad hypothermia, coagulopathy acidosis. Many trauma patients require urgent control structural fixation through operative intervention. However, metabolic derangement cardiovascular instability may delay surgery, resulting an ongoing cycle deterioration. Damage surgery (DCS) be used as a temporizing measure until patient stabilized The aim this case study discuss complex issues faced care management severely injured patient. DESIGN: We conducted study, analysis using published evidence. key terms search evidence were trauma, injury, damage spinal fixation, critical/intensive nurse. RESULTS: report complex, conflicting requiring DCS. subsequent definitive repair column fractures provided many challenges nurses including restricted mobilization, positioning pressure ulcer prevention. A review contemporary relating DCS reveals that whilst technique increasingly research focuses on single system injuries. CONCLUSION: Evidence guidelines required support fractures. For delayed surgical intervention, rotational bed therapy assist meeting needs. Language: en