{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T18:26:26Z","timestamp":1785608786323,"version":"3.56.0"},"reference-count":44,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T00:00:00Z","timestamp":1612137600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T00:00:00Z","timestamp":1612137600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journal-cot.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Orthopaedics and Trauma"],"published-print":{"date-parts":[[2021,2]]},"DOI":"10.1016\/j.jcot.2020.12.003","type":"journal-article","created":{"date-parts":[[2020,12,5]],"date-time":"2020-12-05T19:09:07Z","timestamp":1607195347000},"page":"106-115","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":17,"special_numbering":"C","title":["Evaluation and management of haemorrhagic shock in polytrauma: Clinical practice guidelines"],"prefix":"10.1016","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7099-941X","authenticated-orcid":false,"given":"Karthik","family":"Vishwanathan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Chhajwani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9577-9533","authenticated-orcid":false,"given":"Raju","family":"Vaishya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"Suppl 3","key":"10.1016\/j.jcot.2020.12.003_bib1","doi-asserted-by":"crossref","first-page":"S64","DOI":"10.1016\/j.injury.2014.08.020","article-title":"How to define severely injured patients? \u2014 an Injury Severity Score (ISS) based approach alone is not sufficient","volume":"45","author":"Paffrath","year":"2014","journal-title":"Injury"},{"issue":"5","key":"10.1016\/j.jcot.2020.12.003_bib2","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1097\/TA.0000000000001216","article-title":"Classification of soft-tissue injuries in open femur fractures: relevant for systemic complications?","volume":"81","author":"Weber","year":"2016","journal-title":"J\u00a0Trauma Acute Care Surg"},{"key":"10.1016\/j.jcot.2020.12.003_bib3","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1186\/1471-227X-14-22","article-title":"Epidemiology of in-hospital trauma deaths in a Brazilian university hospital","volume":"14","author":"Trajano","year":"2014","journal-title":"BMC Emerg Med"},{"issue":"1","key":"10.1016\/j.jcot.2020.12.003_bib4","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1186\/s12913-017-2085-7","article-title":"Learning from 2523 trauma deaths in India- opportunities to prevent in-hospital deaths","volume":"17","author":"Roy","year":"2017","journal-title":"BMC Health Serv Res"},{"issue":"suppl 1","key":"10.1016\/j.jcot.2020.12.003_bib5","article-title":"The outcomes of 1120 severe multiple trauma patients with hemorrhagic shock in an emergency department: a retrospective study","volume":"13","author":"Wen","year":"2013","journal-title":"BMC Emerg Med"},{"issue":"S2","key":"10.1016\/j.jcot.2020.12.003_bib6","doi-asserted-by":"crossref","first-page":"1423","DOI":"10.1111\/trf.15161","article-title":"Outcomes of traumatic hemorrhagic shock and the epidemiology of preventable death from injury","volume":"59","author":"Eastridge","year":"2019","journal-title":"Transfusion"},{"issue":"5","key":"10.1016\/j.jcot.2020.12.003_bib7","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1097\/SHK.0000000000000788","article-title":"Earlier endpoints are required for hemorrhagic shock trials among severely injured patients","volume":"47","author":"Fox","year":"2017","journal-title":"Shock"},{"issue":"4","key":"10.1016\/j.jcot.2020.12.003_bib8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5604\/01.3001.0014.1127","article-title":"Incidence and etiology of mortality in polytrauma patients: an analysis of material from Multitrauma Centre of the University Teaching Hospital no 1 in Szczecin, over a period of 3 years (2017-2019)","volume":"92","author":"Ciechanowicz","year":"2020","journal-title":"Pol Przegl Chir"},{"issue":"3","key":"10.1016\/j.jcot.2020.12.003_bib9","doi-asserted-by":"crossref","first-page":"558","DOI":"10.4103\/2249-4863.197279","article-title":"Profile of trauma patients in the emergency department of a tertiary care hospital in South India","volume":"5","author":"Abhilash","year":"2016","journal-title":"J\u00a0Family Med Prim Care"},{"issue":"9","key":"10.1016\/j.jcot.2020.12.003_bib10","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1097\/BOT.0b013e3181599c27","article-title":"Predicting blood loss in isolated pelvic and acetabular high-energy trauma","volume":"21","author":"Magnussen","year":"2007","journal-title":"J\u00a0Orthop Trauma"},{"issue":"3","key":"10.1016\/j.jcot.2020.12.003_bib11","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1007\/s00068-015-0628-3","article-title":"Damage control resuscitation: lessons learned","volume":"42","author":"Giannoudi","year":"2016","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"5","key":"10.1016\/j.jcot.2020.12.003_bib12","doi-asserted-by":"crossref","first-page":"1170","DOI":"10.1007\/s00268-016-3865-7","article-title":"Strategies for intravenous fluid resuscitation in trauma patients","volume":"41","author":"Wise","year":"2017","journal-title":"World J Surg"},{"issue":"3","key":"10.1016\/j.jcot.2020.12.003_bib13","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1016\/j.ajem.2015.12.012","article-title":"Is arterial base deficit still a useful prognostic marker in trauma? A systematic review","volume":"34","author":"Ibrahim","year":"2016","journal-title":"Am J Emerg Med"},{"issue":"1","key":"10.1016\/j.jcot.2020.12.003_bib14","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.emc.2017.08.005","article-title":"Resuscitation resequenced: a rational approach to patients with trauma in shock","volume":"36","author":"Petrosoniak","year":"2018","journal-title":"Emerg Med Clin North Am"},{"issue":"Suppl 3","key":"10.1016\/j.jcot.2020.12.003_bib15","doi-asserted-by":"crossref","first-page":"S35","DOI":"10.1016\/j.injury.2014.08.015","article-title":"The ATLS(\u00ae) classification of hypovolaemic shock: a well established teaching tool on the edge?","volume":"45","author":"Mutschler","year":"2014","journal-title":"Injury"},{"issue":"5","key":"10.1016\/j.jcot.2020.12.003_bib16","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1016\/j.resuscitation.2011.01.013","article-title":"Trauma Audit and Research Network. Vital signs and estimated blood loss in patients with major trauma: testing the validity of the ATLS classification of hypovolaemic shock","volume":"82","author":"Guly","year":"2011","journal-title":"Resuscitation"},{"issue":"3","key":"10.1016\/j.jcot.2020.12.003_bib17","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1016\/j.resuscitation.2012.07.012","article-title":"A\u00a0critical reappraisal of the ATLS classification of hypovolaemic shock: does it really reflect clinical reality?","volume":"84","author":"Mutschler","year":"2013","journal-title":"Resuscitation"},{"issue":"2","key":"10.1016\/j.jcot.2020.12.003_bib18","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1136\/emermed-2013-202727","article-title":"Is the ATLS classification of hypovolaemic shock appreciated in daily trauma care?","volume":"32","author":"Mutschler","year":"2015","journal-title":"Emerg Med J"},{"key":"10.1016\/j.jcot.2020.12.003_bib19","series-title":"Advanced Trauma Life Support Student for Doctors \u2013 Students Course Manual","year":"2008"},{"key":"10.1016\/j.jcot.2020.12.003_bib20","series-title":"Advanced Trauma Life Support ATLS \u2013 Students Course Manual","year":"2012"},{"key":"10.1016\/j.jcot.2020.12.003_bib21","series-title":"Advanced Trauma Life Support Student Course Manual","year":"2018"},{"issue":"5","key":"10.1016\/j.jcot.2020.12.003_bib22","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1016\/j.suc.2017.06.002","article-title":"Balanced resuscitation in trauma management","volume":"97","author":"Cantle","year":"2017","journal-title":"Surg Clin North Am"},{"issue":"1","key":"10.1016\/j.jcot.2020.12.003_bib23","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.ccc.2016.08.007","article-title":"Optimal fluid therapy for traumatic hemorrhagic shock","volume":"33","author":"Chang","year":"2017","journal-title":"Crit Care Clin"},{"issue":"1","key":"10.1016\/j.jcot.2020.12.003_bib24","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1186\/s13049-018-0572-4","article-title":"Risks and benefits of hypotensive resuscitation in patients with traumatic hemorrhagic shock: a meta-analysis","volume":"26","author":"Owattanapanich","year":"2018","journal-title":"Scand J Trauma Resusc Emerg Med"},{"issue":"2","key":"10.1016\/j.jcot.2020.12.003_bib25","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1007\/s00068-017-0862-y","article-title":"Permissive hypotension resuscitation in adult patients with traumatic haemorrhagic shock: a systematic review","volume":"44","author":"Albreiki","year":"2018","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"5","key":"10.1016\/j.jcot.2020.12.003_bib26","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1097\/TA.0000000000001816","article-title":"Permissive hypotension versus conventional resuscitation strategies in adult trauma patients with hemorrhagic shock: a systematic review and meta-analysis of randomized controlled trials","volume":"84","author":"Tran","year":"2018","journal-title":"J\u00a0Trauma Acute Care Surg"},{"issue":"1","key":"10.1016\/j.jcot.2020.12.003_bib27","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.ccc.2016.08.004","article-title":"Tranexamic acid update in trauma","volume":"33","author":"Ramirez","year":"2017","journal-title":"Crit Care Clin"},{"issue":"5","key":"10.1016\/j.jcot.2020.12.003_bib28","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1001\/jama.2015.12","article-title":"Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: the PROPPR randomized clinical trial","volume":"313","author":"Holcomb","year":"2015","journal-title":"JAMA"},{"issue":"14","key":"10.1016\/j.jcot.2020.12.003_bib29","doi-asserted-by":"crossref","first-page":"1696","DOI":"10.1182\/bloodadvances.2018017699","article-title":"Platelet transfusions improve hemostasis and survival in a substudy of the prospective, randomized PROPPR trial","volume":"2","author":"Cardenas","year":"2018","journal-title":"Blood Adv"},{"issue":"12","key":"10.1016\/j.jcot.2020.12.003_bib30","doi-asserted-by":"crossref","first-page":"1448","DOI":"10.1111\/anae.14042","article-title":"Blood pressure in trauma resuscitation: \u2019pop the clot\u2019 vs. \u2019drain the brain\u2019?","volume":"72","author":"Wiles","year":"2017","journal-title":"Anaesthesia"},{"key":"10.1016\/j.jcot.2020.12.003_bib31","doi-asserted-by":"crossref","first-page":"43","DOI":"10.3389\/fsurg.2017.00043","article-title":"Contemporary role of embolization of solid organ and pelvic injuries in polytrauma patients","volume":"4","author":"Ptohis","year":"2017","journal-title":"Front Surg"},{"issue":"10","key":"10.1016\/j.jcot.2020.12.003_bib32","doi-asserted-by":"crossref","first-page":"2117","DOI":"10.1016\/j.injury.2016.05.046","article-title":"Cambridge Polytrauma Pathway: are we making appropriately guided decisions?","volume":"47","author":"Wynell-Mayow","year":"2016","journal-title":"Injury"},{"issue":"5","key":"10.1016\/j.jcot.2020.12.003_bib33","doi-asserted-by":"crossref","first-page":"1922","DOI":"10.1007\/s00330-016-4574-1","article-title":"Imaging algorithms and CT protocols in trauma patients: survey of Swiss emergency centers","volume":"27","author":"Hinzpeter","year":"2017","journal-title":"Eur Radiol"},{"issue":"8","key":"10.1016\/j.jcot.2020.12.003_bib34","doi-asserted-by":"crossref","first-page":"1784","DOI":"10.1016\/j.injury.2017.06.003","article-title":"A\u00a0meta-analysis of the efficacy of whole-body computed tomography imaging in the management of trauma and injury","volume":"48","author":"Chidambaram","year":"2017","journal-title":"Injury"},{"issue":"2","key":"10.1016\/j.jcot.2020.12.003_bib35","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.injury.2017.11.038","article-title":"Use of interventional radiology as initial hemorrhage control to improve outcomes for potentially lethal multiple blunt injuries","volume":"49","author":"Otsuka","year":"2018","journal-title":"Injury"},{"issue":"6","key":"10.1016\/j.jcot.2020.12.003_bib36","first-page":"299","article-title":"Thromboelastography in orthopaedic trauma acute pelvic fracture resuscitation: a Descriptive Pilot Study","volume":"30","author":"Mamczak","year":"2016","journal-title":"J\u00a0Orthop Trauma"},{"issue":"6","key":"10.1016\/j.jcot.2020.12.003_bib37","doi-asserted-by":"crossref","first-page":"1178","DOI":"10.1097\/SLA.0000000000002825","article-title":"TACTIC\/INTRN collaborators. Data-driven development of ROTEM and TEG algorithms for the management of trauma hemorrhage: a prospective observational multicenter study","volume":"270","author":"Baksaas-Aasen","year":"2019","journal-title":"Ann Surg"},{"issue":"2","key":"10.1016\/j.jcot.2020.12.003_bib38","first-page":"CD010438","article-title":"Thromboelastography (TEG) and rotational thromboelastometry (ROTEM) for trauma induced coagulopathy in adult trauma patients with bleeding","volume":"2015","author":"Hunt","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"issue":"7","key":"10.1016\/j.jcot.2020.12.003_bib39","doi-asserted-by":"crossref","first-page":"486","DOI":"10.3390\/diagnostics10070486","article-title":"Site-of-Care viscoelastic assay in major trauma improves outcomes and is cost neutral compared with standard coagulation tests","volume":"10","author":"Cochrane","year":"2020","journal-title":"Diagnostics (Basel)"},{"issue":"2","key":"10.1016\/j.jcot.2020.12.003_bib40","doi-asserted-by":"crossref","first-page":"R42","DOI":"10.1186\/cc12555","article-title":"Renaissance of base deficit for the initial assessment of trauma patients: a base deficit-based classification for hypovolemic shock developed on data from 16,305 patients derived from the TraumaRegister DGU\u00ae","volume":"17","author":"Mutschler","year":"2013","journal-title":"Crit Care"},{"issue":"3","key":"10.1016\/j.jcot.2020.12.003_bib41","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/j.emc.2019.03.005","article-title":"Beyond mean arterial pressure and lactate: perfusion end points for managing the shocked patient","volume":"37","author":"Hallisey","year":"2019","journal-title":"Emerg Med Clin North Am"},{"key":"10.1016\/j.jcot.2020.12.003_bib42","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1097\/BOT.0b013e31829efda1","article-title":"Timing of orthopaedic surgery in multiple trauma patients: development of a protocol for early appropriate care","volume":"27","author":"Vallier","year":"2013","journal-title":"J\u00a0Orthop Trauma"},{"key":"10.1016\/j.jcot.2020.12.003_bib43","first-page":"1013","article-title":"Resus- citation before stabilization of femoral fractures limits acute respiratory distress syndrome in patients with multiple traumatic injuries despite low use of damage control orthopedics","volume":"67","author":"O\u2019Toole","year":"2009","journal-title":"J\u00a0Trauma Inj Infect Crit Care"},{"issue":"2","key":"10.1016\/j.jcot.2020.12.003_bib44","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1186\/cc12513","article-title":"Recognition of hypovolemic shock: using base deficit to think outside of the ATLS box","volume":"17","author":"Privette","year":"2013","journal-title":"Crit Care"}],"container-title":["Journal of Clinical Orthopaedics and Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S097656622030566X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S097656622030566X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T06:20:47Z","timestamp":1760854847000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S097656622030566X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2]]},"references-count":44,"alternative-id":["S097656622030566X"],"URL":"https:\/\/doi.org\/10.1016\/j.jcot.2020.12.003","relation":{},"ISSN":["0976-5662"],"issn-type":[{"value":"0976-5662","type":"print"}],"subject":[],"published":{"date-parts":[[2021,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Evaluation and management of haemorrhagic shock in polytrauma: Clinical practice guidelines","name":"articletitle","label":"Article Title"},{"value":"Journal of Clinical Orthopaedics and Trauma","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jcot.2020.12.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Delhi Orthopedic Association. All rights reserved.","name":"copyright","label":"Copyright"}]}}