Advanced Trauma Life Support ATLS Student Course Manual 2018

More documents

Recommendations

Info

367 APPENDIX G n Skills n FIGURE G-6 n FIGURE G-7 n FIGURE G-8 n FIGURE G-9 STEP 4. Look for black or anechoid areas above the diaphragm. Identify Fluid on FAst Video or Still Images of FAst STEP 1. On the pericardial view, look for a black stripe of fluid separating the hyperechoic pericardium from the gray myocardium. This stripe represents fluid. STEP 2. Look at the hepatorenal space. Intraperitoneal fluid has a black hypoechoic or anechoic appearance. STEP 3. Look at the splenorenal space. Blood will appear as a hypoechoic or anechoic strip in this area. STEP 4. Look around the bladder for an area of hypoechogenicity. STEP 5. Be sure you have thoroughly visualized all spaces before declaring an examination negative. Evaluate Thoracic and LumbAR Spine Images (optional) Note: Before interpreting the x-ray, confirm the patient name and date of examination. STEP 1. Assess for alignment of vertebral bodies/ angulation of spine. STEP 2. Assess the contour of the vertebral bodies. STEP 3. Assess the disk spaces. STEP 4. Assess for encroachment of vertebral body on the canal. Interpret a Pelvic X-Ray Note: Before interpreting the x-ray, confirm the patient name and date of examination. STEP 1. Check for interruption of the arcuate and ilioischial lines, including the pubic symphysis. The pubic symphysis should be n BACK TO TABLE OF CONTENTS
368 APPENDIX G n Skills less than 1 cm in pregnancy and less than 0.5 cm in nonpregnant adults. STEP 2. Check for widening or displacement of the sacroiliac joints. Check the transverse processes of L-5 because they may fracture with sacroiliac disruption. STEP 3. Check the sacrum for evidence of fracture. The arcs of the foramina may be interrupted with sacral fractures. Links to Future LeARNing Post <strong>ATLS</strong>—Review the FAST performance video on the My<strong>ATLS</strong> mobile app. After this course, take the opportunity to perform FAST and eFAST on your patients to improve your comfort with use of this technology. In addition, make an effort to read pelvic x rays on your own before looking at the radiologist interpretation. STEP 4. Check the acetabulum bilaterally for interruption and femoral dislocation. Check the femoral head and neck for disruption bilaterally. n BACK TO TABLE OF CONTENTS
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 22 and 23:
xxi ACKNOWLEDGMENTS Mahesh Misra, M
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 59 and 60:
Page 61 and 62:
Page 63 and 64:
10 CHAPTER 1 n Initial Assessment a
Page 65 and 66:
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
2 AIRWAY AND VENTILATORY MANAGEMENT
Page 77 and 78:
24 CHAPTER 2 n Airway and Ventilato
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
3 SHOCK The first step in the initi
Page 97 and 98:
44 CHAPTER 3 n Shock The first step
Page 99 and 100:
46 CHAPTER 3 n Shock Recognition of
Page 101 and 102:
48 CHAPTER 3 n Shock However, the a
Page 103 and 104:
50 CHAPTER 3 n Shock Class II Hemor
Page 105 and 106:
52 CHAPTER 3 n Shock hypothermia, a
Page 107 and 108:
54 CHAPTER 3 n Shock replacement du
Page 109 and 110:
56 CHAPTER 3 n Shock aggregation an
Page 111 and 112:
58 CHAPTER 3 n Shock Presence of Pa
Page 113 and 114:
60 CHAPTER 3 n Shock rate can be ac
Page 115 and 116:
4 THORACIC TRAUMA Thoracic injury i
Page 117 and 118:
64 CHAPTER 4 n Thoracic Trauma Thor
Page 119 and 120:
66 CHAPTER 4 n Thoracic Trauma shoc
Page 121 and 122:
68 CHAPTER 4 n Thoracic Trauma comp
Page 123 and 124:
70 CHAPTER 4 n Thoracic Trauma Norm
Page 125 and 126:
72 CHAPTER 4 n Thoracic Trauma Seco
Page 127 and 128:
74 CHAPTER 4 n Thoracic Trauma A B
Page 129 and 130:
76 CHAPTER 4 n Thoracic Trauma Spec
Page 131 and 132:
78 CHAPTER 4 n Thoracic Trauma temp
Page 133 and 134:
80 CHAPTER 4 n Thoracic Trauma 18.
Page 135 and 136:
ABDOMINAL AND 5 PELVIC TRAUMA When
Page 137 and 138:
84 CHAPTER 5 n Abdominal and Pelvic
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
100 CHAPTER 5 n Abdominal and Pelvi
Page 155 and 156:
6 HEAD TRAUMA The primary goal of t
Page 157 and 158:
104 CHAPTER 6 n Head Trauma Head in
Page 159 and 160:
106 CHAPTER 6 n Head Trauma fibrous
Page 161 and 162:
108 CHAPTER 6 n Head Trauma n FIGUR
Page 163 and 164:
110 CHAPTER 6 n Head Trauma table 6
Page 165 and 166:
112 CHAPTER 6 n Head Trauma covery.
Page 167 and 168:
Page 169 and 170:
Page 171 and 172:
Page 173 and 174:
120 CHAPTER 6 n Head Trauma necessa
Page 175 and 176:
122 CHAPTER 6 n Head Trauma Use 0.2
Page 177 and 178:
124 CHAPTER 6 n Head Trauma not rea
Page 179:
126 CHAPTER 6 n Head Trauma 18. Mar
Page 182 and 183:
CHAPTER 7 Outline Objectives iNtrod
Page 184 and 185:
ANATOMY AND PHYSIOLOGY 131 B A n FI
Page 186 and 187:
RIGHT INTERNATIONAL STANDARDS FOR N
Page 188 and 189:
DOCUMENTATION OF SPINAL CORD INJURI
Page 190 and 191:
SPECIFIC TYPES OF SPINAL INJURIES 1
Page 192 and 193:
RADIOGRAPHIC EVALUATION 139 Penetra
Page 194 and 195:
GENERAL MANAGEMENT 141 When the low
Page 196 and 197:
GENERAL MANAGEMENT 143 them to the
Page 198 and 199:
BIBLIOGRAPHY 145 Bibliography 1. Bi
Page 201 and 202:
8 MUSCULOSKELETAL TRAUMA Injuries t
Page 203 and 204:
150 CHAPTER 8 n Musculoskeletal Tra
Page 205 and 206:
Page 207 and 208:
Page 209 and 210:
Page 211 and 212:
Page 213 and 214:
Page 215 and 216:
Page 217 and 218:
Page 219 and 220:
Page 221 and 222:
9 THERMAL INJURIES The most signifi
Page 223 and 224:
170 CHAPTER 9 n Thermal Injuries Th
Page 225 and 226:
172 CHAPTER 9 n Thermal Injuries Ch
Page 227 and 228:
174 CHAPTER 9 n Thermal Injuries Pi
Page 229 and 230:
176 CHAPTER 9 n Thermal Injuries th
Page 231 and 232:
178 CHAPTER 9 n Thermal Injuries ju
Page 233 and 234:
180 CHAPTER 9 n Thermal Injuries Im
Page 235 and 236:
182 CHAPTER 9 n Thermal Injuries lo
Page 237 and 238:
184 CHAPTER 9 n Thermal Injuries 4.
Page 239 and 240:
10 PEDIATRIC TRAUMA Injury remains
Page 241 and 242:
188 CHAPTER 10 n Pediatric Trauma I
Page 243 and 244:
190 CHAPTER 10 n Pediatric Trauma c
Page 245 and 246:
192 CHAPTER 10 n Pediatric Trauma A
Page 247 and 248:
194 CHAPTER 10 n Pediatric Trauma b
Page 249 and 250:
196 CHAPTER 10 n Pediatric Trauma b
Page 251 and 252:
198 CHAPTER 10 n Pediatric Trauma t
Page 253 and 254:
200 CHAPTER 10 n Pediatric Trauma f
Page 255 and 256:
202 CHAPTER 10 n Pediatric Trauma t
Page 257 and 258:
204 CHAPTER 10 n Pediatric Trauma G
Page 259 and 260:
206 CHAPTER 10 n Pediatric Trauma C
Page 261 and 262:
208 CHAPTER 10 n Pediatric Trauma
Page 263 and 264:
210 CHAPTER 10 n Pediatric Trauma 1
Page 265:
212 CHAPTER 10 n Pediatric Trauma 6
Page 268 and 269:
CHAPTER 11 Outline Objectives iNtro
Page 270 and 271:
PRIMARY SURVEY WITH RESUSCITATION 2
Page 272 and 273:
PRIMARY SURVEY WITH RESUSCITATION 2
Page 274 and 275:
SPECIFIC INJURIES 221 table 11-6 ph
Page 276 and 277:
BIBLIOGRAPHY 223 comprise only 12%
Page 279 and 280:
12 TRAUMA IN PREGNANCY AND INTIMATE
Page 281 and 282:
228 CHAPTER 12 n Trauma in Pregnanc
Page 283 and 284:
Page 285 and 286:
Page 287 and 288:
Page 289 and 290:
Page 291 and 292:
Page 293 and 294:
240 CHAPTER 13 n Transfer to Defini
Page 295 and 296:
Page 297 and 298:
Page 299 and 300:
Page 301 and 302:
Page 303 and 304:
Page 305:
Page 310 and 311:
Appendix A OCULAR TRAUMA OBJECTIVES
Page 312 and 313:
259 APPENDIX A n Ocular Trauma In c
Page 314 and 315:
261 APPENDIX A n Ocular Trauma to t
Page 318 and 319:
Appendix B HYPOTHERMIA AND HEAT INJ
Page 320 and 321:
267 APPENDIX B n Hypothermia and He
Page 322 and 323:
Page 324 and 325:
Page 328 and 329:
Appendix C TRAUMA CARE IN MASS-CASU
Page 330 and 331:
277 APPENDIX C n Trauma Care in Mas
Page 332 and 333:
Page 334 and 335:
Page 336 and 337:
Page 338 and 339:
Page 342 and 343:
Appendix D DISASTER PREPAREDNESS AN
Page 344 and 345:
291 APPENDIX D n Disaster Preparedn
Page 346 and 347:
Page 348 and 349:
Page 350 and 351:
Page 352 and 353:
Pitfall Inadequate security Failed
Page 356 and 357:
Appendix E ATLS AND TRAUMA TEAM RES
Page 358 and 359:
305 APPENDIX E n ATLS and Trauma Te
Page 360 and 361:
Page 362 and 363:
Page 364 and 365:
Page 366 and 367:
Page 370 and 371: Appendix F TRIAGE SCENARIOS OBJECTI
Page 372 and 373: 319 APPENDIX F n Triage Scenarios T
Page 386: 333 APPENDIX F n Triage Scenarios 4
Page 390 and 391: Skill Station A AIRWAY Part 1: Basi
Page 392 and 393: 339 APPENDIX G n Skills One-Person
Page 394 and 395: 341 APPENDIX G n Skills STEP 5. Con
Page 396: 343 APPENDIX G n Skills STEP 13. Co
Page 399 and 400: 346 APPENDIX G n Skills STEP 1. D
Page 402 and 403: Skill Station C CIRCULATION LEARNIN
Page 404 and 405: 351 APPENDIX G n Skills manual trac
Page 406 and 407: 353 APPENDIX G n Skills STEP 3. Aft
Page 408: 355 APPENDIX G n Skills STEP 2. If
Page 411 and 412: 358 APPENDIX G n Skills A. Note fac
Page 413 and 414: 360 APPENDIX G n Skills •• Flex
Page 415: 362 APPENDIX G n Skills Utilization
Page 419: 366 APPENDIX G n Skills n FIGURE G-
Page 425 and 426: 372 APPENDIX G n Skills G. Inspect
Page 427: 374 APPENDIX G n Skills in the inju
Page 431 and 432: 378 INDEX LTA for, 31-32, 32f Malla
Page 433 and 434: 380 INDEX atlanto-occipital disloca
Page 435 and 436: 382 INDEX Frostbite, 181-183, 182f
Page 437 and 438: 384 INDEX Kussmaul’s sign, 69 Lac
Page 439 and 440: 386 INDEX PEA. See Pulseless electr
Page 441 and 442: 388 INDEX for musculoskeletal traum
Page 443 and 444: 390 INDEX Tibial fractures, 163 Tou
Page 445 and 446: TRAUMA SCORES Correct triage is ess
Page 447 and 448: 394 TRAUMA SCORES on Field Triage,
Page 449 and 450: 396 INJURY PREVENTION Safety Admini
Page 451 and 452: 398 INJURY PREVENTION providers to
Page 453 and 454: BIOMECHANICS OF INJURY Injuries occ
Page 455 and 456: 402 BIOMECHANICS OF INJURY Ejection
Page 457 and 458: 404 BIOMECHANICS OF INJURY •• A
Page 459 and 460: 406 BIOMECHANICS OF INJURY in a 30-
Page 461 and 462: 408 TETANUS IMMUNIZATION •• Wou
Page 463 and 464: 410 TETANUS IMMUNIZATION Summary Gu
Page 465 and 466: SAMPLE TRAUMA FLOW SHEET Page 1 of
Page 467 and 468: 414 SAMPLE TRAUMA FLOW SHEET Page 3
Page 469 and 470: 416 SAMPLE TRAUMA FLOW SHEET Page 5
Page 471 and 472:
418 SAMPLE TRAUMA FLOW SHEET Page 7
Page 473 and 474:
420 SAMPLE TRAUMA FLOW SHEET Some h
show all

Advanced Trauma Life Support ATLS Student Course Manual 2018

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?