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The trauma triad of death is a medical term describing the combination of hypothermia, acidosis, and coagulopathy. [1] This combination is commonly seen in patients who have sustained severe traumatic injuries and results in a significant rise in the mortality rate . [ 2 ]
The rate of death from hypothermia is strongly related to age in the United States. Hypothermia usually occurs from exposure to low temperatures, and is frequently complicated by alcohol consumption. Any condition that decreases heat production, increases heat loss, or impairs thermoregulation, however, may contribute. [1]
The "lethal triad" of ways trauma can lead to death is acidosis, hypothermia, and coagulopathy. [3] It is possible for trauma to cause clotting problems even without resuscitation efforts. [3] Damage control resuscitation is based on three principles:
Hypothermia is associated with many problems including a bleeding disorder, organ failure, and hypotension, and is one of the three components in the "Triad of Death" that is feared by all trauma specialists. The crystalloid fluid used in initial resuscitative efforts does not contain any clotting factors or erythrocytes (red blood cells).
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