RESUMEN

Major haemorrhage is a leading cause of death in critically ill or injured patients requiring medical retrieval and presents significant clinical and logistic challenges irrespective of patient location, primary pathophysiology or mode of transport. It is essential that all care providers involved in the retrieval patient pathway, including referring hospitals, ambulance services, retrieval teams and tertiary receiving centres, adopt a common approach to the management of this complex patient group through the use of retrieval-specific, integrated protocols. These should incorporate the latest clinical evidence base, recognise the differences between primary and inter-facility missions and clearly define the roles and responsibilities of the retrieval clinical coordinator. By unifying the response across services, the aim is to facilitate seamless transition of care with ongoing damage control resuscitation from point of referral, during transfer and on arrival at the receiving centre.

Asunto(s)

Prestación Integrada de Atención de Salud/métodos , Servicios Médicos de Urgencia/métodos , Hemorragia/terapia , Resucitación/métodos , Continuidad de la Atención al Paciente/normas , Hemorragia/fisiopatología , Humanos , Hipotensión/fisiopatología , Hipotensión/terapia , Medicina Transfusional/métodos , Medicina Transfusional/tendencias

RESUMEN

Compartment syndrome as a result of patient positioning for surgery is a rare but serious complication. Compartment syndrome as a result of anabolic steroid use is more rare. We present a unique case of compartment syndrome related to anabolic steroid use and patient positioning for complex distal humerus fracture fixation and also provide a review of the literature related to this topic.