Trauma Resuscitation - part 1 pps

[...]... Trauma 19 87; 27:370–378.Committee on trauma Hospital and prehospital resources for optimal care of the injured patient Am C Surgeons Bull 19 86; 71 Driscoll P, Vincent C Variation in trauma resuscitation and its effects on outcome Injury 19 92; 23 :11 1 11 5 Driscoll P, Vincent C Organizing an efficient trauma team Injury 19 92; 23 :10 7 11 0 Driscoll P Trauma: today’s problems, tomorrows answer Injury 19 92; 23 :15 1 15 8... tomorrows answer Injury 19 92; 23 :15 1 15 8 xxiv Lecky F, Woodford M, Bouamra O, Yates D Lack of change in trauma care in England and Wales since 19 94 EMJ 2002; 19 :520–23 Lecky F, Woodford M, Yates D Trends in trauma care in England and Wales 19 89–97 Lancet 2000; 355 :17 71 5 Nantulya V, Reich M The neglected epidemic: road traffic injuries in developing countries BMJ 2002; 324 :11 39– 41 Nicholl J, Hughes S, Dixon... J, Trunkey D Systems of trauma care: a study of two counties Arch Surg 19 79; 11 4: 455–460 Wyatt J, Beard D, Gray A, Busuttil A, Robertson C The time of death after trauma BMJ 19 95; 310 :15 02 1 Resuscitation and stabilization of the severely injured patient P Driscoll, D Bates, G Lomas Objectives The objectives of this chapter are: to understand the structure and function of a trauma team; gain an overview... pre-hospital trauma care HMSO 19 98, London Roberts I, Abbasi K War on the roads BMJ 2002; 324 :11 07–8 Royal College of Surgeons Report The management of patients with major injuries Report of a Working Party 19 88; Royal College of Surgeons, London.TNCC Course manual (second edition) Emergency Nurses Association 19 88, Award Printing Corporation, Chicago, Illinois Trunkey D Trauma Scientific America 19 83;... of 10 00 deaths from injury in England and Wales BMJ 19 88; 296 :13 05–8 Anderson I, Woodford M, Irving M Preventability of death from penetrating injury in England and Wales Injury 19 89; 20:69– 71. ATLS for doctors, Course manual 6th Edition The American College of Surgeons Committee on Trauma, The American College of Surgeons, 19 97, Chicago Boyd C, Tolson M Evaluating trauma care: the TRISS method J Trauma. .. is best spent marshalling, briefing and preparing the trauma team 2 TRAUMA RESUSCITATION The increasing use of telemedicine systems also allows direct contact between the paramedic crew and the receiving hospital, thus the paramedical staff can receive advice while providing hospital staff with essential information (Box 1. 1) BOX 1. 1 ESSENTIAL PRE-HOSPITAL INFORMATION Nature of the incident Number,... information about the forces the patient was subjected to, particularly the direction of impact Further help comes from a description of the damage to vehicles or the weapon used (Figure 1. 1) which will often be provided by the pre-hospital team 1. 3 The trauma team The group of nurses and doctors who make up the trauma team need to be summoned once the pre-hospital information is received, and should all be... sixth removes the ambulance trolley 1. 6 Assessment and management Management now consists of a three-phase approach followed in all patients, consisting of: (i) primary survey and resuscitation; (ii) secondary survey; (iii) definitive care 1. 6 .1 Primary survey and resuscitation The objective of this phase in the resuscitation is to identify and treat any immediately life-threatening conditions While every... there a number of causes of a reduced level of consciousness apart from head injury (Box 1. 4) BOX 1. 3 THE AVPU SYSTEM A—Alert V—Only responding to verbal stimulus P—Only responding to pain U—Unresponsive to any stimulus RESUSCITATION AND STABILIZATION OF THE SEVERELY INJURED PATIENT 11 BOX 1. 4 CAUSES OF AN ALTERED LEVEL OF CONSCIOUSNESS T trauma to the brain I—insulin/diabetes P—poisons P—psychiatric... websites that cover a number of trauma topics All the sites we have listed are free www .trauma. org This is an excellent trauma website which includes interactive moulages http://www.swsahs.nsw.gov.au/livtrauma/default.asp xix This is the trauma website of the Liverpool Hospital, Sydney, Australia It has some useful sections on all aspects of trauma www.bestbets.org Provides evidence-based answers to common . patient 91 Summary 10 0 Appendices 10 0 5 Abdominal and pelvis trauma A Sen, M Scriven 10 6 Introduction 10 6 Applied anatomy 10 7 Mechanism of injury 11 5 Assessment and management 11 7 Summary 12 4 6. Head trauma D Bryden, C Gwinnutt 12 5 Introduction 12 5 Anatomy 12 5 iv Physiology 13 1 Signs of a head injury 13 3 Assessment and management 13 4 Terminology applied to head injuries 14 1 Referral. 0-2 0 3-4 278 5-8 Master e-book ISBN ISBN 0-2 0 3-4 415 1- 6 (Adobe eReader Format) ISBN 1 85996 009 X (Print Edition) BIOS Scientific Publishers Ltd 9 Newtec Place, Magdalen Road, Oxford OX4 1RE, UK Tel.