Trauma Care Pre-Hospital Manual

his new book provides evidence based guidelines for the immediate clinical management of major trauma.It has been written by clinicians with many years of trauma experience, and endorsed as authoritative by Trauma Care (UK).

The UK now has highly effective trauma systems. Clinical developments include the introduction of damage control resuscitation, tranexamic acid, blood product resuscitation, novel hybrid resuscitation and an emphasis on the control of major external haemorrhage as part of a new ABCDE approach. Consequently, more individuals with major trauma are surviving than ever before. Optimal pre-hospital care is essential for improved survival rates and reduced morbidity.

Table of Contents

Introduction

Acknowledgements

Abbreviations and acronyms

Contributors

1. Trauma: A global perspective

2. Safety

3. The incident scene

4. Communication in pre-hospital care

5. Mechanism of injury

6. The primary survey

7. Catastrophic haemorrhage

8. Airway management

9. Chest injuries

10. Shock

11. Entrapment and extrication

12. Head injury

13. Spinal injuries

14. Musculoskeletal trauma

15. Analgesia, sedation and emergency anaesthesia

16. The injured child

17. Trauma in pregnancy

18. Trauma in the elderly

19. Burns

20. Firearms, ballistics and gunshot wounds

21. Blast injuries

22. Trauma management in the austere pre-hospital environment

23. Mass casualty situations

24. Retrieval and transport

25. Handover and documentation

26. Law and ethics in pre-hospital care

27. Research and audit in pre-hospital care

28. Training in pre-hospital emergency medicine (PHEM)

29. Trauma systems

Annex A Practical procedures in thoracic trauma

Annex B Traumatic cardiac arrest

Index

Ian Greaves FRCEM FRCP FRCSEd FIMC FASI DTM&H DMCC DipMedEd L/RAMC. Consultant in emergency medicine, James Cook University Hospital Middlesbrough and Defence Medical Services UK

Professor Sir Keith Porter FRCS FRCSEd FRCEM FFSEM FIMC FASI. Honorary professor of clinical traumatology, University of Birmingham and consultant trauma surgeon, Queen Elizabeth Hospital Birmingham

Chris Wright DIMC FRCEM RAMC, Consultant in emergency medicine, Defence Consultant Advisor in Pre-Hospital Emergency Care. Imperial College Healthcare NHS Trust and Defence Medical Services