Initial treatment of patients with extensive trauma

John A. Marx, Ernest E. Moore, Richard E. Moon, Claude A. Piantadosi, Kenneth V. Iserson, Donald Trunkey

    Research output: Contribution to journalLetter

    5 Scopus citations

    Abstract

    To the Editor: Dr. Trunkey provides a useful overview of the care of the patient with life-threatening injuries (May 2 issue).1 We certainly agree that timely and appropriate operative intervention is key to the successful treatment of the seriously injured patient. However, the decision to perform emergency laparotomy, particularly in the context of multisystem trauma, can be vexing. We wish to underscore the pivotal role of diagnostic peritoneal lavage in such cases. Dr. Trunkey acknowledges the usefulness of diagnostic peritoneal lavage, notably in the evaluation of the patient “whose condition is unstable.” Moreover, he promulgates the tenets of the Advanced.

    Original languageEnglish (US)
    Pages (from-to)1444-1446
    Number of pages3
    JournalNew England Journal of Medicine
    Volume325
    Issue number20
    DOIs
    StatePublished - Nov 14 1991

    ASJC Scopus subject areas

    • Medicine(all)

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    Marx, J. A., Moore, E. E., Moon, R. E., Piantadosi, C. A., Iserson, K. V., & Trunkey, D. (1991). Initial treatment of patients with extensive trauma. New England Journal of Medicine, 325(20), 1444-1446. https://doi.org/10.1056/NEJM199111143252012