Advanced Trauma Life Support ATLS Student Course Manual 2018
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389<br />
INDEX<br />
intravenous fluids, 144<br />
logrolling in, 143–144, 143f<br />
medications and, 144<br />
patient transfer and, 144<br />
spinal motion restriction,<br />
141, 143–144<br />
in pediatric patients, 136<br />
penetrating, 139<br />
pitfalls of, 134, 141<br />
radiographic evaluation of<br />
cervical spine, 139–141<br />
thoracic and lumbar spine, 141<br />
severity of neurological deficit<br />
in, 135<br />
spinal cord<br />
documentation of, 135–136<br />
in pediatric patients,<br />
205–206<br />
syndromes, 135–136<br />
teamwork in, 144<br />
thoracic spine fractures, 137–138<br />
thoracolumbar junction<br />
fractures, 138<br />
Spinothalamic tract, 132t<br />
Splints, 163, 164f, 206<br />
Stab wounds, 14t, 85, 86f, 93, 232t<br />
Standard precautions, 6, 6f<br />
Starling’s law, 45<br />
Sternum fractures, 78<br />
Stomach, decompression of, 52<br />
Stop the Bleed campaign, 283, 284f,<br />
285<br />
Stroke volume, 44, 44f<br />
Subcutaneous emphysema, 77<br />
Subdural hematomas, 111, 111f<br />
Subtalar joint, joint dislocation<br />
deformities, 155t<br />
Sucking chest wound. See Open<br />
pneumothorax<br />
Superficial (first-degree) burns, 176<br />
Superficial peroneal nerve, 161t<br />
Superior gluteal nerve, 161t<br />
Supraglottic devices, 31, 32f<br />
Surge capability, 290b<br />
Surge capacity, 290b<br />
Surgical airway, 36<br />
Surgical cricothyroidotomy, 36, 37f<br />
Systemic hypothermia, 183, 265–269<br />
Tachycardia, in shock, 46<br />
Tactical combat casualty care<br />
(TCCC), 279–280<br />
Tactical evacuation care, 280<br />
Tactical field care, 280<br />
Tar burns, 180<br />
Tazobactam, 158t<br />
TBI. See <strong>Trauma</strong>tic brain injuries<br />
TCCC. See Tactical combat casualty<br />
care<br />
Team leader, 20<br />
briefing of trauma team by, 303t<br />
checklist for, 303t<br />
communication with patient’s<br />
family/friends by, 304–305,<br />
305b, 305f<br />
effective leadership by, 305–306,<br />
306b<br />
roles and responsibilities of,<br />
302–305<br />
team debriefing by, 304<br />
team direction and responding<br />
to information by, 304<br />
Team members, roles and<br />
responsibilities of, 306–308<br />
Teamwork, 20f<br />
in abdominal and pelvic trauma,<br />
98<br />
in airway management, 38–39<br />
with geriatric patients, 223<br />
in head trauma, 124<br />
in initial assessment, 19–20<br />
in musculoskeletal trauma, 165<br />
in patient transfers, 251<br />
with pediatric patients, 208–209<br />
with pregnant patients, 237–238<br />
shock and, 58<br />
in spine injury, 144<br />
in thermal injuries, 183<br />
in thoracic trauma, 78<br />
Tear gas, 297<br />
TEE. See Transesophageal echocardiography<br />
Tension pneumothorax, 48, 65–66,<br />
65f<br />
vs. cardiac tamponade, 69<br />
decompression for, 66, 66f<br />
differentiating from massive<br />
hemothorax, 68t<br />
pitfall of, 67<br />
signs and symptoms of, 66<br />
Tentorial hiatus, 106<br />
Tetanus, 162<br />
Thermal burns, 14t, 15<br />
Thermal injuries. See Burns; Cold<br />
injuries; Heat injuries<br />
Thermoregulation, in pediatric<br />
patients, 199<br />
Thoracic spine, 130–131<br />
fractures, 137–138<br />
radiographic evaluation of, 141<br />
screening for suspected injuries<br />
to, 142b<br />
Thoracic trauma<br />
airway problems, 64–65<br />
blunt cardiac injury, 75<br />
blunt esophageal rupture, 77<br />
breathing problems, 65–68<br />
cardiac tamponade, 69–70<br />
cause and development of,<br />
69, 70f<br />
diagnosis of, 69–70<br />
management of, 70<br />
circulation problems, 68–71<br />
crush injury to chest, 77–78<br />
flail chest, 73–75, 74f<br />
hemothorax, 73<br />
initial assessment of, 64<br />
life-threatening injuries, 64,<br />
64–77<br />
massive hemothorax, 67–68,<br />
68–69<br />
cause and development of,<br />
68, 69f<br />
management of, 68–69<br />
open pneumothorax, 66–67, 67f<br />
in pediatric patients, 200<br />
primary survey for, 64–71<br />
rib fractures, 78<br />
scapular fractures, 78<br />
secondary survey for, 72–78<br />
simple pneumothorax, 72–73,<br />
72f<br />
sternum fractures, 78<br />
subcutaneous emphysema, 77<br />
teamwork in, 78<br />
tension pneumothorax, 65–66,<br />
65f<br />
tracheobronchial tree injury,<br />
64–65<br />
traumatic aortic disruption,<br />
75–76<br />
traumatic circulatory arrest<br />
diagnosis of, 70<br />
management of, 70, 71f<br />
traumatic diaphragmatic injury,<br />
76–77, 77f<br />
Thoracoabdomen, 84<br />
Thoracolumbar junction fractures,<br />
138<br />
Thoracoscopy, for abdominal and<br />
pelvic trauma, 92<br />
Thoracoabdominal wounds, 93<br />
Thoracostomy, 195<br />
Thromboelastography (TEG), 56<br />
Thromboembolic complications, 56<br />
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