Multisystem Trauma in Children, Part Two: Massive Transfusion, Trauma Imaging, and Resuscitative Pearls
Pediatric Emergency Playbook
MARCH 1, 2016
On arrival, he was in compensated shock, with tachycardia. The Trauma Death Spiral Lethal triad of hypothermia, acidosis, and coagulopathy. Fox et al in Academic Emergency Medicine found a sensitivity of 52%; with a 95% confidence interval [CI] = 31% to 73%. He decompensates and needs blood. Keep the patient perfused and warm.
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