Medical MCQ-A trauma patient was brought to emergency. On evaluation,found to have metabolic acidosis and coagulopathy with liver and duodenal injury. Next step:

A trauma patient was brought to emergency. On evaluation,found to have metabolic acidosis and coagulopathy with liver and duodenal injury. Next step:

Damage control surgery

Liver repair

Whipples procedure

None of the above

Question Category:

Surgery

Correct Answer:

Damage control surgery

Description:

The first step in trauma management is damage control. TRAUMA TRIAD OF DEATH: - Trauma triad of death: Hypothermia + coagulopathy + metabolic acidosis - Coagulopathy is most commonly responsible for death - Stages of DCS : Stage 1 : Patient selection Stage 2 : Operative control of hemorrhage & contamination Stage 3 : ICU resuscitation Stage 4 : Definitive surgery Stage 5 : Abdominal closure

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