Progress, challenges, and future directions of pancreatic cancer surveillance in high-risk populations.
Authors: Poh AR, Sexton A, Pietrzak H, De Losa R, Garcia R, Heriot N, Winship I, Metz AJ
Journal: Communications medicine
mental health
psychology
open access
Abstract
The incidence of trauma in pregnancy is approximately 6%–8% [, ] and accounts for nearly 50% of non‐obstetric maternal deaths []. The initial assessment and treatment priorities of the pregnant trauma patient (PTP) should follow the same principles as for non‐pregnant patients, according to Advanced Trauma Life Support (ATLS) guidelines []. Resuscitation of the mother remains the primary focus, as maternal outcomes dictate fetal outcomes and survival in trauma [, ]. In the instance of severely injured PTPs at viable gestation, it is recommended that the primary assessment is conducted by a multidisciplinary team, including an obstetrician, to ensure timely specialised management []. In centres where there are no obstetric services, clinicians should have a low threshold to transfer PTPs to a tertiary centre that can appropriately manage both maternal and foetal needs [] as even minor trauma can result in adverse outcomes []. South Australia (SA) has 4 trauma centres that contribute data to the SA Trauma Registry [] of which two are designated adult major trauma centres. One of these is the designated major obstetric trauma centre [] as it has adult major trauma services, an intensive care unit, as well as obstetric and neonatal services, including a neonatal intensive care unit (NICU).