Advanced Trauma Life Support ATLS Student Course Manual 2018

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xxi ACKNOWLEDGMENTS Mahesh Misra, MD, FACS Director All India Institute of Medical Sciences New Delhi India Soledad Monton Médico en Servicio Navarro de Salud Servicio Navarro de Salud Pamplona Spain Hunter Moore, MD Trauma Research Fellow University of Colorado Denver, Colorado United States John Ng, MD, MS, FACS Chief, Division of Oculofacial Plastics, Orbital and Reconstructive Surgery; Professor, Departments of Ophthalmology and Otolaryngology/Head and Neck Surgery Casey Eye Institute–Oregon Health and Science University Portland, Oregon United States Nnamdi Nwauwa, MSCEM, MPH, MBBS Director, Training and Clinical Services Emergency Response International Port Harcourt, Nigeria James V. O’Connor MD, FACS Professor of Surgery, University of Maryland School of Medicine Chief, Thoracic and Vascular Trauma R Adams Cowley Shock Trauma Center Baltimore, Maryland United States Roddy O’Donnell, MBBS, MA, PhD, FRCPCH, MRCP, FFICM Consultant Paediatrician and Director of PICU Addenbrookes Hospital Cambridge United Kingdom Giorgio Olivero, MD, FACS ATLS Program Director; Professor of Surgery Department of Surgical Sciences, University of Torino Torino Italy Debbie Paltridge, MHlthSc (ED) Principal Educator Royal Australasian College of Surgeons Melbourne, Victoria Australia Neil Parry, MD, FACS, FRCSC Medical Director, Trauma Program; Associate Professor of Surgery and Critical Care London Health Sciences Center; Schulich School of Medicine, Western University London, Ontario Canada Albert Pierce Hermanus Jacobus Christoffel Du Plessis, MB, ChB, MMed(Surg), FCS(SA), FACS Travis Polk, MD, FACS Commander, Medical Corps, U.S. Navy; Surgical Director, Healthcare Simulation and Bioskills Training Center Naval Medical Center Portsmouth Portsmouth, Virginia United States Bruce Potenza, MD, FACS Critical Care Surgeon, Trauma UCSD Medical Center San Diego, California United States Tarek Razek, MD, FRCSC, FACS Chief, Division of Trauma Surgery McGill University Health Centre Montreal, Quebec Canada Martin Richardson, MBBS, MS, FRACS Associate Clinical Dean Epworth Hospital, University of Melbourne Melbourne, Victoria Australia Avraham Rivkind, MD, FACS Head, Division of Emergency Medicine and Shock Trauma Unit Hadassah Medical Center Jerusalem Israel
xxii ACKNOWLEDGMENTS Rosalind Roden, BA(Cambridge), FRCEM Consultant in Emergency Medicine Leeds Teaching Hospitals Trust Leeds, West Yorkshire United Kingdom Jakob Roed, MD, MPA, DLS Chief Anesthetist, Department of Anesthesiology and Intensive Care Zealand University Hospital Roskilde Denmark Dan Rutigliano, DO Assistant Professor of Surgery Stony Brook University School of Medicine Stony Brook, New York United States Kennith Sartorelli, MD, FACS Department of Surgery University of Vermont College of Medicine Burlington, Vermont United States Patrick Schoettker, MD Professor of Anesthesiology University Hospital CHUV Lausanne, VD Switzerland David Schultz, MD, FACS Thedacare Regional Medical Center Neenah Neenah, Wisconsin United States Kristen C. Sihler, MD, MS, FACS Maine Medical Center Portland, Maine United States Preecha Siritongtaworn, FRCST,FACS. Department of Surgery Faculty of Medicine Siriraj Hospital Bangkok, Thailand David Skarupa, MD, FACS Assistant Professor of Surgery, Department of Surgery/ Division of Acute Care Surgery University of Florida College of Medicine–Jacksonville Jacksonville, Florida United States Elizabeth Vallejo de Solezio National Education, Committee on Trauma Ecuador Quito, Ecuador Ronald Stewart, MD, FACS Chair, American College of Surgeons Committee on Trauma Witten B. Russ Professor and Chair of the Department of Surgery UT Health San Antonio San Antonio, Texas United States Claus Stobaus, ME, ED Postgraduate Program in Education Pontifical Catholic University of Rio Grande do Sul Porto Alegre, Rio Grande do Sul Brazil John Sutyak, EdM, MD, FACS Director, Southern Illinois Trauma Center Associate Professor of Surgery Southern Illinois University School of Medicine Springfield, Illinois United States Gonzalo Tamayo Kum-Ying Tham, MBBS, FRCSE, EDD Senior Consultant Tan Tock Seng Hospital Singapore Phil Truskett Surgeon at SESIH SESIH Sydney, Australia Gary Vercruysse, MD, FACS Director of Burns Services; Associate Professor of Surgery, Division of Trauma, Burns, Acute Care Surgery and Surgical Critical Care University of Arizona School of Medicine Tucson, Arizona United States Eric Voiglio, MD, FACS Emergency Surgery Unit University Hospitals of Lyon Pierre-Bénite France
Page 1 and 2: TENTH EDITION ATLS ® Advanced Trau
Page 3 and 4: Chair of Committee on Trauma: Ronal
Page 6: FOREWORD My first exposure to Advan
Page 9 and 10: viii PREFACE MyATLS Mobile Applicat
Page 11 and 12: x PREFACE Gary A. Vercruysse, MD, F
Page 13 and 14: xii PREFACE Jacqueline Bustraan, MS
Page 16 and 17: ACKNOWLEDGMENTS It is clear that ma
Page 18 and 19: xvii ACKNOWLEDGMENTS Bertil Bouillo
Page 20 and 21: xix ACKNOWLEDGMENTS Oscar Guillamon
Page 24 and 25: xxiii ACKNOWLEDGMENTS James Vosswin
Page 26 and 27: xxv ACKNOWLEDGMENTS James A. Geilin
Page 28: xxvii ACKNOWLEDGMENTS Tone Slåke R
Page 31 and 32: xxx COURSE OVERVIEW m. Protection o
Page 33 and 34: xxxii COURSE OVERVIEW Atls and Trau
Page 35 and 36: xxxiv COURSE OVERVIEW a systematize
Page 37 and 38: xxxvi COURSE OVERVIEW 69. Switzerla
Page 39 and 40: xxxviii COURSE OVERVIEW United Stat
Page 41 and 42: xl COURSE OVERVIEW 67. Hendrickson
Page 43 and 44: xlii COURSE OVERVIEW 122. Palusci V
Page 46: BRIEF CONTENTS Foreword Preface Ack
Page 49 and 50: xlviii DETAILED CONTENTS Teamwork 5
Page 51: l DETAILED CONTENTS Introduction 21
Page 55 and 56: 1 INITIAL ASSESSMENT AND MANAGEMENT
Page 57 and 58: 4 CHAPTER 1 n Initial Assessment an
Page 63 and 64: 10 CHAPTER 1 n Initial Assessment a
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20 CHAPTER 1 n Initial Assessment a
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2 AIRWAY AND VENTILATORY MANAGEMENT
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24 CHAPTER 2 n Airway and Ventilato
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3 SHOCK The first step in the initi
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44 CHAPTER 3 n Shock The first step
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46 CHAPTER 3 n Shock Recognition of
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48 CHAPTER 3 n Shock However, the a
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50 CHAPTER 3 n Shock Class II Hemor
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52 CHAPTER 3 n Shock hypothermia, a
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54 CHAPTER 3 n Shock replacement du
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56 CHAPTER 3 n Shock aggregation an
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58 CHAPTER 3 n Shock Presence of Pa
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60 CHAPTER 3 n Shock rate can be ac
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4 THORACIC TRAUMA Thoracic injury i
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64 CHAPTER 4 n Thoracic Trauma Thor
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66 CHAPTER 4 n Thoracic Trauma shoc
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68 CHAPTER 4 n Thoracic Trauma comp
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70 CHAPTER 4 n Thoracic Trauma Norm
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72 CHAPTER 4 n Thoracic Trauma Seco
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74 CHAPTER 4 n Thoracic Trauma A B
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76 CHAPTER 4 n Thoracic Trauma Spec
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78 CHAPTER 4 n Thoracic Trauma temp
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80 CHAPTER 4 n Thoracic Trauma 18.
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ABDOMINAL AND 5 PELVIC TRAUMA When
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84 CHAPTER 5 n Abdominal and Pelvic
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100 CHAPTER 5 n Abdominal and Pelvi
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6 HEAD TRAUMA The primary goal of t
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104 CHAPTER 6 n Head Trauma Head in
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106 CHAPTER 6 n Head Trauma fibrous
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108 CHAPTER 6 n Head Trauma n FIGUR
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110 CHAPTER 6 n Head Trauma table 6
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112 CHAPTER 6 n Head Trauma covery.
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120 CHAPTER 6 n Head Trauma necessa
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122 CHAPTER 6 n Head Trauma Use 0.2
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124 CHAPTER 6 n Head Trauma not rea
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126 CHAPTER 6 n Head Trauma 18. Mar
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CHAPTER 7 Outline Objectives iNtrod
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ANATOMY AND PHYSIOLOGY 131 B A n FI
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RIGHT INTERNATIONAL STANDARDS FOR N
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DOCUMENTATION OF SPINAL CORD INJURI
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SPECIFIC TYPES OF SPINAL INJURIES 1
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RADIOGRAPHIC EVALUATION 139 Penetra
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GENERAL MANAGEMENT 141 When the low
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GENERAL MANAGEMENT 143 them to the
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BIBLIOGRAPHY 145 Bibliography 1. Bi
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8 MUSCULOSKELETAL TRAUMA Injuries t
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150 CHAPTER 8 n Musculoskeletal Tra
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9 THERMAL INJURIES The most signifi
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170 CHAPTER 9 n Thermal Injuries Th
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172 CHAPTER 9 n Thermal Injuries Ch
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174 CHAPTER 9 n Thermal Injuries Pi
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176 CHAPTER 9 n Thermal Injuries th
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178 CHAPTER 9 n Thermal Injuries ju
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180 CHAPTER 9 n Thermal Injuries Im
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182 CHAPTER 9 n Thermal Injuries lo
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184 CHAPTER 9 n Thermal Injuries 4.
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10 PEDIATRIC TRAUMA Injury remains
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188 CHAPTER 10 n Pediatric Trauma I
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190 CHAPTER 10 n Pediatric Trauma c
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192 CHAPTER 10 n Pediatric Trauma A
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194 CHAPTER 10 n Pediatric Trauma b
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196 CHAPTER 10 n Pediatric Trauma b
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198 CHAPTER 10 n Pediatric Trauma t
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200 CHAPTER 10 n Pediatric Trauma f
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202 CHAPTER 10 n Pediatric Trauma t
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204 CHAPTER 10 n Pediatric Trauma G
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206 CHAPTER 10 n Pediatric Trauma C
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208 CHAPTER 10 n Pediatric Trauma
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210 CHAPTER 10 n Pediatric Trauma 1
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212 CHAPTER 10 n Pediatric Trauma 6
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CHAPTER 11 Outline Objectives iNtro
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PRIMARY SURVEY WITH RESUSCITATION 2
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PRIMARY SURVEY WITH RESUSCITATION 2
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SPECIFIC INJURIES 221 table 11-6 ph
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BIBLIOGRAPHY 223 comprise only 12%
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12 TRAUMA IN PREGNANCY AND INTIMATE
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228 CHAPTER 12 n Trauma in Pregnanc
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240 CHAPTER 13 n Transfer to Defini
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Appendix A OCULAR TRAUMA OBJECTIVES
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259 APPENDIX A n Ocular Trauma In c
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261 APPENDIX A n Ocular Trauma to t
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Appendix B HYPOTHERMIA AND HEAT INJ
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267 APPENDIX B n Hypothermia and He
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Appendix C TRAUMA CARE IN MASS-CASU
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277 APPENDIX C n Trauma Care in Mas
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Appendix D DISASTER PREPAREDNESS AN
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291 APPENDIX D n Disaster Preparedn
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Pitfall Inadequate security Failed
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Appendix E ATLS AND TRAUMA TEAM RES
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305 APPENDIX E n ATLS and Trauma Te
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Appendix F TRIAGE SCENARIOS OBJECTI
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319 APPENDIX F n Triage Scenarios T
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333 APPENDIX F n Triage Scenarios 4
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Skill Station A AIRWAY Part 1: Basi
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339 APPENDIX G n Skills One-Person
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341 APPENDIX G n Skills STEP 5. Con
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343 APPENDIX G n Skills STEP 13. Co
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346 APPENDIX G n Skills STEP 1. D
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Skill Station C CIRCULATION LEARNIN
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351 APPENDIX G n Skills manual trac
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353 APPENDIX G n Skills STEP 3. Aft
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355 APPENDIX G n Skills STEP 2. If
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358 APPENDIX G n Skills A. Note fac
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360 APPENDIX G n Skills •• Flex
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362 APPENDIX G n Skills Utilization
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366 APPENDIX G n Skills n FIGURE G-
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368 APPENDIX G n Skills less than 1
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372 APPENDIX G n Skills G. Inspect
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374 APPENDIX G n Skills in the inju
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378 INDEX LTA for, 31-32, 32f Malla
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380 INDEX atlanto-occipital disloca
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382 INDEX Frostbite, 181-183, 182f
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384 INDEX Kussmaul’s sign, 69 Lac
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386 INDEX PEA. See Pulseless electr
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388 INDEX for musculoskeletal traum
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390 INDEX Tibial fractures, 163 Tou
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TRAUMA SCORES Correct triage is ess
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394 TRAUMA SCORES on Field Triage,
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396 INJURY PREVENTION Safety Admini
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398 INJURY PREVENTION providers to
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BIOMECHANICS OF INJURY Injuries occ
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402 BIOMECHANICS OF INJURY Ejection
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404 BIOMECHANICS OF INJURY •• A
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406 BIOMECHANICS OF INJURY in a 30-
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408 TETANUS IMMUNIZATION •• Wou
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410 TETANUS IMMUNIZATION Summary Gu
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SAMPLE TRAUMA FLOW SHEET Page 1 of
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414 SAMPLE TRAUMA FLOW SHEET Page 3
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420 SAMPLE TRAUMA FLOW SHEET Some h
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