Victorian State Trauma System

Major Trauma Guidelines & Education – Victorian State Trauma System

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References

by | Aug 25, 2024

1 Brouwers M, Kho ME, Browman GP, Burgers JS, Cluzeau F, Feder G, Fervers B, Graham ID, Grimshaw J, Hanna S, Littlejohns P, Makarski J, Zitzelsberger L for the AGREE Next Steps Consortium. AGREE II: Advancing guideline development, reporting and evaluation in...

Retrieval and Transfer

by | Aug 25, 2024

For centres that do not carry the majority of reversal medication or have access to a blood bank, the best option is to initiate retrieval and transfer early. It is important to note that an exhaustive clinical workup and intervention is not always necessary or...

Head Injury and Oral Anticoagulants

by | Aug 25, 2024

See Traumatic Brain Injury guideline: Early Management Any patient who is taking an anticoagulant such as warfarin or other oral anticoagulants (dabigatran, rivaroxaban, apixaban) is at high risk of developing a significant intracranial haemorrhage from minor head...

Early Management

by | Aug 25, 2024

FOR BLEEDING PATIENTS ON ORAL ANTICOAGULANTS, EARLY CONSULT WITH THE MTS EMERGENCY, TRAUMA AND HAEMATOLOGY STAFF VIA ARV IS ADVISED TO ASSIST IN DIRECTING PATIENT CARE AND TO FACILITATE EARLY RETRIEVAL. Initial assessment Complete primary survey and identify likely...

Management Agents

by | Aug 25, 2024

While the effects of Warfarin can be reversed, some of the newer oral anticoagulants do not have direct antidotes; therefore, management should focus on resuscitation and factor replacement. 13 Early haematological advice from the MTS’s is recommended to guide...