A trauma patient is rushed to the OR after a primary survey is completed in the ED.He is a 36-year-old man with multiple penetrating gunshot wounds to the abdomen.He is bleeding profusely.What appropriate nursing actions are critical in the rapid preparation for this procedure?

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When the trauma patient is transferred to the OR,the extent of injury is not always known.The perioperative nurse should prep the patient from the suprasternal notch to the midthigh.This allows for rapid access to the chest to clamp the aorta should massive hemorrhage control be indicated; it also allows for exposure of the femoral arteries for potential cannulation and access to the thigh for harvesting a saphenous vein.If the abdomen is difficult to close,alternative wound closure techniques may be used to prevent the occurrence of abdominal compartment syndrome.One such method is to use a silo-bag closure,in which heavy plastic is trimmed to fit and sutured to skin edges.

A Trauma Patient Is Rushed to the OR After a Primary