Treatment Strategy of Hemorrhagic Traumatic Shock Patients in High Altitude Area: A Systematic Review

Liang ZhouHailin Qi


Background Because of the influence of hypoxia, the degree of shock of patients with traumatic hemorrhagic shock (HTS) in high altitude area will be aggravated in a short period of time. There is a difference in treatment strategy compared with the low altitude area. At present, the relevant literature reports are growing. However, there is no systematic review of these clinical evidences. Therefore, this study aims to synthesize existing literature on the treatment strategy of HTS patients in high altitude area. Methods By searching PubMed, Medline, Embase, CNKI, CBMdisc, VIP and the Cochrane Database of Systematic Reviews, searched from inception until March 1, 2020. The clinical trial of HTS patients at high altitude, which was conducted by qualitative analysis to extract data, classify, summarize and arrange information. Results Overall, 254 articles were identified, of which 13 relevant articles were identified following screening. Clinical practice and rationale for treatment decisions mainly involve the following 6 aspects: (1) effective prehospital treatment (hemostasis, bandaging, ventilation and establishment of venous access, etc.); (2) long time and low concentration oxygen supply; (3) limited rehydration, the amoun...Continue Reading

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