Advanced trauma life support 2025: A brief review of updates

IF 2.4 3区医学 Q3 CRITICAL CARE MEDICINE

Injury-International Journal of the Care of the Injured Pub Date : 2026-04-01 Epub Date: 2026-02-03 DOI:10.1016/j.injury.2026.113079

Akilesh Ramasamy

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引用次数: 0

Abstract

Guidelines and practices in trauma care constantly evolve based on evidence available, and every healthcare provider who treats trauma should be up-to-date in trauma-care concepts. The Eleventh Edition of Advanced Trauma Life Support, released in 2025, contains a complete revamp of the foundational principles of acute trauma care, content design, delivery, and training, based on medical and educational evidence. In this edition, a significant update is the emphasis on control of exsanguinating/major haemorrhage (ABCDE to x-ABCDE where x stands for control of exsanguinating haemorrhage in trauma resuscitation. In addition to damage control resuscitation, some of the significant changes include recommendations for permissive hypotension, limiting crystalloids, early transfusion, neuroprotective focus, and modifications in operational principles in spine motion restriction. Some of these conceptual changes with their rationale are briefly described in this review as an update for any healthcare provider involved in trauma resuscitation.

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2025年晚期创伤生命支持：简要回顾最新进展

创伤护理的指导方针和实践不断发展，基于现有的证据，每个治疗创伤的医疗保健提供者都应该掌握最新的创伤护理概念。《高级创伤生命支持》第11版于2025年发布，基于医学和教育证据，对急性创伤护理、内容设计、交付和培训的基本原则进行了全面修订。在这个版本中，一个重要的更新是强调对失血/大出血的控制（ABCDE）到x-ABCDE，其中x代表创伤复苏中对失血/大出血的控制。除了损害控制复苏，一些重要的变化包括建议允许性低血压，限制晶体，早期输血，神经保护焦点，以及修改脊柱运动限制的操作原则。在这篇综述中，简要描述了一些概念上的变化及其基本原理，作为任何涉及创伤复苏的医疗保健提供者的更新。

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来源期刊

Injury-International Journal of the Care of the Injured 医学-急救医学

CiteScore

4.00

自引率

8.00%

发文量

699

审稿时长

96 days

期刊介绍： Injury was founded in 1969 and is an international journal dealing with all aspects of trauma care and accident surgery. Our primary aim is to facilitate the exchange of ideas, techniques and information among all members of the trauma team.