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

l<br />

DETAILED CONTENTS<br />

Introduction 216<br />

Effects of Aging and Impact of<br />

Preexisting Conditions 216<br />

Mechanism of Injury 217<br />

Primary Survey with Resuscitation 217<br />

Specific Injuries 220<br />

Special Circumstances 222<br />

Teamwork 223<br />

Chapter Summary 223<br />

Bibliography 223<br />

CHAPTER 12<br />

TRAUMA IN PREGNANCY AND INTIMATE<br />

PARTNER VIOLENCE 226<br />

Objectives 227<br />

Introduction 228<br />

Anatomical and Physiological<br />

Alterations of Pregnancy 228<br />

Mechanisms of Injury 231<br />

Severity of Injury 232<br />

Assessment and Treatment 233<br />

Perimortem Cesarean Section 235<br />

Intimate Partner Violence 235<br />

Teamwork 237<br />

Chapter Summary 238<br />

Additional Resources Concerning<br />

Intimate Partner Violence 238<br />

Bibliography 238<br />

CHAPTER 13<br />

TRANSFER TO DEFINITIVE CARE 240<br />

Objectives 241<br />

Introduction 242<br />

Determining the Need for<br />

Patient Transfer 242<br />

Treatment before Transfer 245<br />

Transfer Responsibilities 246<br />

Modes of Transportation 248<br />

Transfer Protocols 249<br />

Transfer Data 251<br />

Teamwork 251<br />

Chapter Summary 251<br />

Bibliography 251<br />

APPENDICES 255<br />

APPENDIX A: Ocular <strong>Trauma</strong> 257<br />

APPENDIX B: Hypothermia and<br />

Heat Injuries 265<br />

APPENDIX C: <strong>Trauma</strong> Care in<br />

Mass-Casualty, Austere, and<br />

Operational Environments<br />

(Optional Lecture) 275<br />

APPENDIX D: Disaster Preparedness<br />

and Response (Optional Lecture) 289<br />

APPENDIX E: <strong>ATLS</strong> and <strong>Trauma</strong> Team<br />

Resource Management 303<br />

APPENDIX F: Triage Scenarios 317<br />

APPENDIX G: Skills 335<br />

INDEX 377

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