Advanced Trauma Life Support ATLS Student Course Manual 2018

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BIBLIOGRAPHY 21 2. Principles of the primary and secondary surveys and the guidelines and techniques in the initial resuscitative and definitive care phases of treatment apply to all multiply injured patients. 3. A patient’s medical history and the mechanism of injury are critical to identifying injuries. 4. Pitfalls associated with the initial assessment and management of injured patients need to be anticipated and managed to minimize their impact. 5. The primary survey should be repeated frequently, and any abnormalities will prompt a thorough reassessment. 6. Early identification of patients requiring transfer to a higher level of care improves outcomes. Bibliography 1. American College of Surgeons Committee on Trauma. Resources for Optimal Care of the Injured Patient. Chicago, IL: American College of Surgeons Committee on Trauma; 2006. 2. CRASH-2 collaborators. The importance of early treatment with tranexamic acid in bleeding trauma patients: an exploratory analysis of the CRASH-2 randomised controlled trial. Lancet 2011;377(9771):1096–1101. 3. Davidson G, Rivara F, Mack C, et al. Validation of prehospital trauma triage criteria for motor vehicle collisions. J Trauma 2014; 76:755–766.6. 4. Esposito TJ, Kuby A, Unfred C, et al. General Surgeons and the Advanced Trauma Life Support Course. Chicago, IL: American College of Surgeons, 2008. 5. Fischer, PE, Bulger EM, Perina DG et. al. Guidance document for the prehospital use of Tranexamic Acid in injured patients. Prehospital Emergency Care, 2016, 20: 557-59. 6. Guidelines for field triage of injured patients: recommendations of the National Expert Panel on Field Triage, 2011. Morbidity and Mortality Weekly Report 2012;61:1–21. 7. Holcomb JB, Dumire RD, Crommett JW, et al. Evaluation of trauma team performance using an advanced human patient simulator for resuscitation training. J Trauma 2002; 52:1078–1086. 8. Kappel DA, Rossi DC, Polack EP, et al. Does the rural Trauma Team development course shorten the interval from trauma patient arrival to decision to transfer? J Trauma 2011;70: 315–319. 9. Lee C, Bernard A, Fryman L, et al. Imaging may delay transfer of rural trauma victims: a survey of referring physicians. J Trauma 2009;65:1359–1363. 10. Leeper WR, Leepr TJ, Yogt K, et al. The role of trauma team leaders in missed injuries: does specialty matter? J Trauma 2013;75(3): 387–390. 11. Ley E, Clond M, Srour M, et al. Emergency department crystalloid resuscitation of 1.5 L or more is associated with increased mortality in elderly and nonelderly trauma patients. J Trauma 2011;70(2):398–400. 12. Lubbert PH, Kaasschieter EG, Hoorntje LE, et al. Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a level 1 trauma center. J Trauma 2009;67:1412–1420. 13. Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand 2009;53:143–151. 14. McSwain NE Jr., Salomone J, Pons P, et al., eds. PHTLS: Prehospital Trauma Life Support. 7th ed. St. Louis, MO: Mosby/Jems; 2011. 15. Nahum AM, Melvin J, eds. The Biomechanics of Trauma. Norwalk, CT: Appleton-Century- Crofts; 1985. 16. Neugebauer EAM, Waydhas C, Lendemans S, et al. Clinical practice guideline: the treatment of patients with severe and multiple traumatic injuries. Dtsch Arztebl Int 2012;109(6):102–108. 17. Teixeira PG, Inaba K, Hadjizacharia P, et al. Preventable or potentially preventable mortality at a mature trauma center. J Trauma 2007;63(6):1338. 18. Wietske H, Schoonhoven L, Schuurmans M, et al. Pressure ulcers from spinal immobilization in trauma patients: a systematic review. J Trauma 2014;76:1131–1141.9. n BACK TO TABLE OF CONTENTS
2 AIRWAY AND VENTILATORY MANAGEMENT The earliest priorities in managing the injured patient are to ensure an intact airway and recognize a compromised airway.bjectives
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TENTH EDITION ATLS ® Advanced Trau
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Chair of Committee on Trauma: Ronal
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FOREWORD My first exposure to Advan
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viii PREFACE MyATLS Mobile Applicat
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x PREFACE Gary A. Vercruysse, MD, F
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xii PREFACE Jacqueline Bustraan, MS
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ACKNOWLEDGMENTS It is clear that ma
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xvii ACKNOWLEDGMENTS Bertil Bouillo
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xix ACKNOWLEDGMENTS Oscar Guillamon
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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
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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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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
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
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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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