May 10, 2024 · The lethal trauma diamond is the “vicious cycle” of four physiologic derangements that can prolong blood loss, lead to hemorrhagic shock and increase the risk of death. The four points of the diamond are coagulopathy, acidosis and hypothermia (the traditional “lethal trauma triad”) and hypocalcemia.

Feb 18, 2021 · Some have advocated converting the lethal triad into the lethal diamond, with the four points being comprised of coagulopathy, acidosis, hypothermia, and hypocalcemia. Management: Calcium supplementation is necessary when hypocalcemia is evident; however, there is no consensus recommendation on calcium administration during massive transfusion.

Jan 26, 2023 · The diamond of death: Hypocalcemia in trauma and resuscitation. Am J Emerg Med. 2021 Mar;41:104-109. doi: 10.1016/j.ajem.2020.12.065. Epub 2020 Dec 28. PMID: 33421674. Giancarelli A, Birrer KL, Alban RF, Hobbs BP, Liu-DeRyke X. Hypocalcemia in trauma patients receiving massive transfusion.

Oct 1, 2018 · The lethal diamond in trauma – acidosis, hypothermia, hypocalcemia, and coagulopathy – defines much of what I do in the ICU and cardiothoracic ORs. It’s important to appreciate the interplay between these three derangements, anticipate problems, and …

Oct 14, 2021 · A diamond-shaped pattern of overactivity in the brain’s emotional centers is actually a sign of trouble. On brain SPECT imaging scans, the diamond pattern is associated with emotional trauma that has pushed the brain into overdrive.

Jan 7, 2025 · The lethal diamond concept, while addressing critical trauma-associated abnormalities, falls short of capturing the multifaceted nature of post-traumatic pathophysiology. Studies on trauma-induced coagulopathy emphasize the pivotal role of fibrinolytic imbalances and endothelial dysfunction, as reported by Moore et al. [ 30 ].

May 12, 2021 · Read the Lethal Diamond Paper. Official JTACS Lethal Diamond; Here is a powerpoint from Ricky. The Lethal Triad Should be the Lethal Diamond. Calcium is an independent part of the death spiral, but it is also intertwined with the other three factors as this diagram demonstrates: Need to add citrate toxicity independently to hypocalcemia vertex

Sep 18, 2024 · The lethal trauma diamond is the “vicious cycle” of four physiologic derangements that can prolong blood loss, lead to hemorrhagic shock and increase the risk of death. The four points of the diamond are coagulopathy, acidosis and hypothermia (the traditional “lethal trauma triad”) and hypocalcemia.

May 3, 2024 · The Trauma Diamond of Death is a critical framework in trauma medicine, emphasising four interconnected factors that significantly impact patient outcomes: Coagulopathy: Abnormal blood clotting can lead to uncontrolled bleeding in trauma patients.

Dec 7, 2023 · Hypothermia, acidosis, and coagulopathy together make up the trauma triad of death, which has been acknowledged as a key factor in the demise of trauma patients. Hypocalcemia has recently been added as the fourth element of the "diamond of death" in trauma.