对创伤性血管损伤的快速反应:一个机构代码Angio协议
Shriya Veluri1, Dylan Later2, Jorge Lopera2
1Long School of Medicine, University of Texas HSC San Antonio, San Antonio, Texas.
Seminars in interventional radiology
|November 17, 2025
概括
实施Code Angio协议显著减少了创伤性血管损伤的反应时间. 这种快速的血管和干预放射学 (VIR) 激活改善了患者的存活率,并减少了对侵入性手术的需求.
科学领域:
- 创伤护理的护理人员.
- 这是血管外科手术.
- 干预性放射学是干预性的放射学.
背景情况:
- 创伤性血管损伤是导致死亡和残疾的主要原因,特别是在年轻人中.
- 血管和干预放射学 (VIR) 为这些损伤提供了最少的侵入性解决方案.
- 及时干预对于管理危及生命的出血至关重要.
研究的目的:
- 评估在一级创伤中心实施Code Angio协议的实施和影响.
- 评估该协议在加快创伤性血管损伤的VIR反应时间方面的有效性.
- 分析对患者结果,手术干预和资源利用的影响.
主要方法:
- 启动了一个Code Angio协议,使用自动警报通知多学科团队 (VIR,创伤手术,麻醉,OR) 满足血管损伤标准的患者.
- 从2014年8月到2024年收集数据,分析反应时间,干预措施和患者存活率.
- 对1447例病例进行了回顾性分析,以评估协议的有效性.
主要成果:
- 实施Code Angio导致VIR响应时间缩短,大多数激活发生在60分钟内.
- 该协议减少了为控制出血而需要紧急腹腔切除的需要.
- 与单独手术相比,使用Code Angio治疗的患者的生存率更高.
结论:
- 像Code Angio这样的快速反应协议显著改善了创伤性血管损伤患者的结果.
- 该协议优化了资源利用,并提高了创伤中心的医疗保健效率.
- 持续改进和与创伤指南的整合对于进一步优化至关重要.
相关概念视频
Vascular Spasm
3.3K
The vascular phase, also known as vasospasm, is the initial stage of hemostasis, crucial for preventing excessive bleeding when a blood vessel is injured. After a vessel is cut, nerves in the damaged area trigger pain and other sensory impulses. Simultaneously, the smooth muscles in the vessel wall contract, resulting in a vascular spasm. This contraction reduces the vessel's diameter at the injury site, slowing or stopping blood loss through the vessel wall. Vascular spasms typically last...
3.3K
Acute Coronary Syndrome IV: Interprofessional Care
205
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
205
Introduction to Hemostasis
13.2K
Hemostasis is a complex physiological process that prevents excessive bleeding when a blood vessel is injured. It's crucial for maintaining the integrity of the circulatory system, as it ensures that our blood remains fluid while still within the vascular network and yet clots to prevent blood loss upon vessel injury.
The three phases of hemostasis involve many clotting factors present in plasma and several substances released by platelets and injured tissue cells. It is a fast, localized,...
The three phases of hemostasis involve many clotting factors present in plasma and several substances released by platelets and injured tissue cells. It is a fast, localized,...
13.2K
Cardiac Catheterization I: Pre-Procedure Overview
1.0K
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
1.0K
Acute Coronary Syndrome I: Introduction
753
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
753
Extrinsic and Intrinsic Pathways of Hemostasis
11.9K
Blood clotting or coagulation involves extrinsic and intrinsic pathways, which ultimately merge into the common pathway, forming a fibrin clot.
The Extrinsic Pathway
The extrinsic pathway of coagulation is typically initiated by tissue damage that exposes blood to tissue factor (TF), a protein released by the damaged tissue cells outside the blood vessels—this interaction with TF triggers biochemical reactions involving specific clotting factors. The key player here is Factor VII, which...
The Extrinsic Pathway
The extrinsic pathway of coagulation is typically initiated by tissue damage that exposes blood to tissue factor (TF), a protein released by the damaged tissue cells outside the blood vessels—this interaction with TF triggers biochemical reactions involving specific clotting factors. The key player here is Factor VII, which...
11.9K


