Advanced Trauma Life Support ATLS Student Course Manual 2018

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xlix DETAILED CONTENTS CHAPTER 8 MUSCULOSKELETAL TRAUMA 148 Objectives 149 Introduction 150 Primary Survey and Resuscitation of Patients with Potentially Life- Threatening Extremity Injuries 150 Adjuncts to the Primary Survey 152 Secondary Survey 153 Limb-Threatening Injuries 156 Other Extremity Injuries 161 Principles of Immobilization 163 Pain Control 163 Associated Injuries 164 Occult Skeletal Injuries 165 Teamwork 165 Chapter Summary 165 Bibliography 166 CHAPTER 9 THERMAL INJURIES 168 Objectives 169 Introduction 170 Primary Survey and Resuscitation of Patients with Burns 170 Patient Assessment 174 Secondary Survey and Related Adjuncts 176 Unique Burn Injuries 178 Patient Transfer 180 Cold Injury: Local Tissue Effects 181 Cold Injury: Systemic Hypothermia 183 Teamwork 183 Chapter Summary 183 Bibliography 184 CHAPTER 10 PEDIATRIC TRAUMA 186 Objectives 187 Introduction 188 Types and Patterns of Injury 188 Unique Characteristics of Pediatric Patients 188 Airway 190 Breathing 195 Circulation and Shock 195 Cardiopulmonary Resuscitation 199 Chest Trauma 199 Abdominal Trauma 200 Head Trauma 202 Spinal Cord Injury 205 Musculoskeletal Trauma 206 Child Maltreatment 207 Prevention 208 Teamwork 208 Chapter Summary 209 Bibliography 209 CHAPTER 11 GERIATRIC TRAUMA 214 Objectives 215
l DETAILED CONTENTS Introduction 216 Effects of Aging and Impact of Preexisting Conditions 216 Mechanism of Injury 217 Primary Survey with Resuscitation 217 Specific Injuries 220 Special Circumstances 222 Teamwork 223 Chapter Summary 223 Bibliography 223 CHAPTER 12 TRAUMA IN PREGNANCY AND INTIMATE PARTNER VIOLENCE 226 Objectives 227 Introduction 228 Anatomical and Physiological Alterations of Pregnancy 228 Mechanisms of Injury 231 Severity of Injury 232 Assessment and Treatment 233 Perimortem Cesarean Section 235 Intimate Partner Violence 235 Teamwork 237 Chapter Summary 238 Additional Resources Concerning Intimate Partner Violence 238 Bibliography 238 CHAPTER 13 TRANSFER TO DEFINITIVE CARE 240 Objectives 241 Introduction 242 Determining the Need for Patient Transfer 242 Treatment before Transfer 245 Transfer Responsibilities 246 Modes of Transportation 248 Transfer Protocols 249 Transfer Data 251 Teamwork 251 Chapter Summary 251 Bibliography 251 APPENDICES 255 APPENDIX A: Ocular Trauma 257 APPENDIX B: Hypothermia and Heat Injuries 265 APPENDIX C: Trauma Care in Mass-Casualty, Austere, and Operational Environments (Optional Lecture) 275 APPENDIX D: Disaster Preparedness and Response (Optional Lecture) 289 APPENDIX E: ATLS and Trauma Team Resource Management 303 APPENDIX F: Triage Scenarios 317 APPENDIX G: Skills 335 INDEX 377
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: xlviii DETAILED CONTENTS Teamwork 5
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
Page 75 and 76: 2 AIRWAY AND VENTILATORY MANAGEMENT
Page 77 and 78: 24 CHAPTER 2 n Airway and Ventilato
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
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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
Page 188 and 189:
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
Page 320 and 321:
267 APPENDIX B n Hypothermia and He
Page 322 and 323:
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Page 328 and 329:
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
Page 344 and 345:
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
Page 358 and 359:
305 APPENDIX E n ATLS and Trauma Te
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Appendix F TRIAGE SCENARIOS OBJECTI
Page 372 and 373:
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
Page 392 and 393:
339 APPENDIX G n Skills One-Person
Page 394 and 395:
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
Page 419 and 420:
366 APPENDIX G n Skills n FIGURE G-
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368 APPENDIX G n Skills less than 1
Page 425 and 426:
372 APPENDIX G n Skills G. Inspect
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374 APPENDIX G n Skills in the inju
Page 431 and 432:
378 INDEX LTA for, 31-32, 32f Malla
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380 INDEX atlanto-occipital disloca
Page 435 and 436:
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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