Pregnancy in trauma—A Western Trauma Association algorithm. Issue 4 (8th October 2022)

• Record Type: Journal Article
• Authors: Rizzo, Anne; Martin, Matthew; Inaba, Kenji; Schreiber, Martin; Brasel, Karen; Sava, Jack; Ciesla, David; Sperry, Jason; Kozar, Rosemary; Brown, Carlos; Moore, Ernest
• Is Part Of: Journal of trauma and acute care surgery. Volume 93:Issue 4(2022)
• Page Start: e139
• Page End: e142
• Publication Date: 2022-10-08
• Subjects: Pregnancy -- trauma -- algorithm -- fetus -- resuscitation; Surgical intensive care -- Periodicals; Surgical emergencies -- Periodicals; Wounds and injuries -- Surgery -- Periodicals; 617.026
• DOI: 10.1097/TA.0000000000003740
• Languages: English
• ISSNs: 2163-0755

Abstract

Abstract : BACKGROUND: The Western Trauma Association has undertaken publication of best practice clinical practice guidelines on multiple trauma topics. These guidelines are based on scientific evidence, case reports, and best practices per expert opinion. Some of the topics covered by this consensus group do not have the ability to have randomized controlled studies completed because of complexity, ethical issues, financial considerations or scarcity of experience. Care of the pregnant trauma patient is one of these clinically complex situations that is based on physiologic data, standard trauma care, trauma care experience, and outcomes. METHODS: Review of multiple evidence- based guidelines, case reports, and expert opinion were compiled and reviewed. RESULTS: The algorithm is attached with detailed explanation of each step, supported by data if available. CONCLUSION: Resuscitative and trauma care of the mother is the utmost priority Study Type: Algorithm, expert opinion, consensus LEVEL OF EVIDENCE: Diagnostic Tests/Criteria; Level III.