Trauma: Multisystem Injury

Abstract

In this chapter the essential aspects of anesthesia for multisystemic trauma injury are explored. The patient in the case requires open reduction internal fixation of a closed right humerus fracture sustained in a motor vehicle accident. Subtopics discussed include the Focused Assessment by Sonography in Trauma (FAST) survey, Glasgow Coma Scale, massive blood transfusion protocol, and shock. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Topics related to preoperative evaluation include assessment using the FAST survey and Glasgow Coma Scale. Intraoperative topics include anesthetic management and dealing with shock and other complications. Postoperative management is also discussed.