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I npatient care of polytrauma victims requires careful attention to detail, and meticulous treatment of ongoing injuries and complications after the immediate resuscitation and damage control surgery. This discussion provides an update on the management of coagulopathy, respiratory failure, and prevention and treatment of venous thromboembolism in polytrauma victims. SpeciÀ cally, the role of thromboelastography, ratios of blood product transfusions, newer modes of respiratory support including airway pressure release ventilation and veno-venous extracorporeal membrane oxygenation, and the use of mechanical and chemoprophylaxis for prophylaxis and management of venous thromboembolism are addressed.
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