Pregnancy in trauma—A Western Trauma Association algorithm

BACKGROUND The Western Trauma Association has undertaken publication of best practice clinical practice guidelines on multiple trauma topics. These guidelines are based on scientific evidence, case reports, and best practices per expert opinion. Some of the topics covered by this consensus group do not have the ability to have randomized controlled studies completed because of complexity, ethical issues, financial considerations or scarcity of experience. Care of the pregnant trauma patient is one of these clinically complex situations that is based on physiologic data, standard trauma care, trauma care experience, and outcomes. METHODS Review of multiple evidence- based guidelines, case reports, and expert opinion were compiled and reviewed. RESULTS The algorithm is attached with detailed explanation of each step, supported by data if available. CONCLUSION Resuscitative and trauma care of the mother is the utmost priority Study Type Algorithm, expert opinion, consensus LEVEL OF EVIDENCE Diagnostic Tests/Criteria; Level III.

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