Delaying Repair to Avoid the Lethal Triad During Trauma Resuscitation

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Conference Proceeding - Restricted Access

Publication Date



A 15-year-old female was brought to the ER in hypovolemic shock after sustaining multiple gunshot wounds to her abdomen. She was rushed to the OR for an emergent exploratory laparotomy. However, during the procedure, the patient remained hypotensive, tachycardic, and hypothermic. The decision was made to stop the surgery, pack the abdomen, and wait until the patient stabilized in the SICU. Once the patient’s hypothermia normalized, she returned to the OR later in the evening for re-exploration. With this case, we will discuss the value of the delayed repair and the importance of avoiding the lethal triad during trauma resuscitation.


American Society of Anesthesiology Annual Meeting, San Diego, CA, October 8-12, 2021.