A second edition of the Trauma Care Manual has never been more timely than now. The 2007 NCEPOD report Trauma: Who Cares? has emphasised once more that there remain significant shortcomings in UK trauma management. The first edition of the Manual was intended to begin the process of establishing evidence-based British guidelines for the optimal management of the trauma victim and this aim remains unchanged for the second edition. The editors, authors and Executive Council of Trauma Care (UK) have been enormously encouraged by the reception given to the first edition and the enthusiasm of the publishers for a second. We hope that the chapters of this book will continue to provide a system of optimal management of the injured patient that is pragmatic, sensible and, wherever possible, built on a solid evidence base.
A new edition of the manual is completely redesign. The order of the chapters has changed to reflect a more sensible pathway through the trauma victim’s journey. Five new chapters have been added and all the remaining chapters have been extensively revised. The use of illustrations has also increased significantly. Most chapters now incorporate case scenarios so that the reader may revisit the information presented in a familiar clinical environment. Although the Manual is aimed at UK trauma, readers may not be limited solely to the British Isles, and so many chapters also discuss the global perspectives of trauma. All these additions help maintain the Trauma Care Manual as an invaluable reference guide to the multidisciplinary management of trauma.
Perhaps the most dramatic change is not in presentation and format but one of philosophy, with the shift away from the ABCDE paradigm to a new system ofABCDE in which the first component is control of external exsanguinating haemorrhage. This change is simple common sense and strongly commend it and have taken the opportunity of increasing the emphasis on methods of haemorrhage control.
Contents
Trauma Care
Pre-hospital care
1. The trauma epidemic 1
2. Mechanism of injury 11
3. Triage 17
Initial assessment
4. Patient assesment 25
5. Control of catastrophic haemorrhage 37
6. Airway management 43
7. Thoracic injury 63
8. Shock 83
Regional survey
9. Head injury 99
10. Maxillofacial injuries 113
11. Ophthalmic injuries 125
12. Spinal injuries 135
13. Abdominal trauma 147
14. Musculoskeletal trauma 159
Special circumstances
15. Injuries in children 173
16. Trauma in women 193
17. Trauma in the elderly 201
18. Gunshot injuries 209
19. Blast injury 215
20. Injuries due to burns and cold 223
Ongoing care
21. Analgesia and anaesthesia for the trauma patient 237
22. Intensive care management of major trauma 253
23. Patient transfer 263
24. Psychological reactions to trauma 277
25. Rehabilitation after trauma 287
26. Trauma scoring 297
27. Organ donation 305
Index
A new edition of the manual is completely redesign. The order of the chapters has changed to reflect a more sensible pathway through the trauma victim’s journey. Five new chapters have been added and all the remaining chapters have been extensively revised. The use of illustrations has also increased significantly. Most chapters now incorporate case scenarios so that the reader may revisit the information presented in a familiar clinical environment. Although the Manual is aimed at UK trauma, readers may not be limited solely to the British Isles, and so many chapters also discuss the global perspectives of trauma. All these additions help maintain the Trauma Care Manual as an invaluable reference guide to the multidisciplinary management of trauma.
Perhaps the most dramatic change is not in presentation and format but one of philosophy, with the shift away from the ABCDE paradigm to a new system of
Contents
Trauma Care
Pre-hospital care
1. The trauma epidemic 1
2. Mechanism of injury 11
3. Triage 17
Initial assessment
4. Patient assesment 25
5. Control of catastrophic haemorrhage 37
6. Airway management 43
7. Thoracic injury 63
8. Shock 83
Regional survey
9. Head injury 99
10. Maxillofacial injuries 113
11. Ophthalmic injuries 125
12. Spinal injuries 135
13. Abdominal trauma 147
14. Musculoskeletal trauma 159
Special circumstances
15. Injuries in children 173
16. Trauma in women 193
17. Trauma in the elderly 201
18. Gunshot injuries 209
19. Blast injury 215
20. Injuries due to burns and cold 223
Ongoing care
21. Analgesia and anaesthesia for the trauma patient 237
22. Intensive care management of major trauma 253
23. Patient transfer 263
24. Psychological reactions to trauma 277
25. Rehabilitation after trauma 287
26. Trauma scoring 297
27. Organ donation 305
Index
