ABC of major trauma : rescue, resuscitation with imaging, and rehabilitation / edited by Peter A. Driscoll, David V. Skinner, and Peter N. Goode.

Format:

Book

Contributor:

Driscoll, P. A., 1955- editor.

Skinner, David V., editor.

Goode, Peter N., editor.

Series:

ABC

Language:

English

Subjects (All):

Wounds and injuries--Treatment.

Wounds and injuries.

Traumatology.

Emergency medical services.

Physical Description:

1 online resource (493 pages)

Edition:

5th ed

Place of Publication:

Hoboken, New Jersey ; Chichester, West Sussex : Wiley Blackwell, [2023]

Summary:

An authoritative overview of the management and treatment of major trauma patients In the newly revised, and substantially expanded, Fifth Edition of ABC of Major Trauma, an eminent team of leading trauma specialists delivers a comprehensive, up-to-date, referenced overview of the emergency treatment of patients suffering from major trauma. Covering all aspects of the management of injured patients during the initial, crucial hours after injury, the scope of the book has developed to include imaging appendices for many chapters. The editors have included resources that discuss general considerations for typical trauma cases, as well as the numerous atypical patients including children, the elderly and those who are pregnant. Hyperlinks are now also included throughout the book which enable the reader to refer to continuously updated guidelines. The book also offers: * A thorough introduction to the development and organisation of trauma services, including pre-hospital care and major incidents. * A guide to the modern trauma team personnel from airway doctor, to trauma nurse, to trauma team leader, while describing the technical and non-technical skills required for the ABCDE of trauma resuscitation, imaging and the subsequent transfer of the patient. * Specialist chapters on ballistic trauma, chemical contamination and burns as well as the management of trauma in specialist patient groups including paediatrics, pregnancy, and the elderly. * A new and vital chapter on rehabilitation as well an expansion of the measurement of trauma outcomes to include disability and a discussion on how such audits can drive further improvement. Perfect for all those involved in the care of the trauma patient, including nurses, physician associates, hospital doctors, paramedics and pre-hospital teams, the ABC of Major Trauma is a one-stop referenced guide to the care of such patients from the site of injury to maximal recovery. About the ABC series The ABC series has been designed to help you access information quickly and deliver the best patient care, and remains an essential reference tool for GPs, junior doctors, medical students and healthcare professionals. Now offering over 80 titles, this extensive series provides you with a quick and dependable reference on a range of topics in all the major specialties. The ABC series is the essential and dependable source of up-to-date information for all practitioners and students in primary healthcare. To receive automatic updates on books and journals in your specialty, join our email list. Sign up today at www.wiley.com/email

Contents:

Cover

Title Page

Copyright Page

Contents

Contributors

Foreword

Preface

Acknowledgements

Abbreviations

About the companion website

How to use your textbook

Section I General circumstances

Chapter 1 The development and organisation of trauma services

Introduction

The impact of major trauma

Injury prevention and reduction of severity

The trauma system

The major trauma care pathway

The effectiveness of change in the trauma care system

Other UK trauma system developments

International trauma systems

Summary

References

Chapter 2 Pre-hospital trauma care

Tasking and dispatch

Immediate destination post-injury

Scene management

Mechanism of injury and reading the scene

Clinical management

Specific pre-hospital situations

Emergency department pre-arrival alert

Mode of transport

Handover

Accompanying website content

Further reading

Website

Chapter 3 Initial assessment and resuscitation of the trauma patient

Before the patient arrives

Trauma team

Patient reception

Trauma resuscitation phases

Primary survey and initial management

Patient's relatives

Team debrief

A3 Initial assessment and management of the trauma patient. Imaging appendix: computed tomography overview

Where imaging fits into the overall patient flow

Major trauma computed tomography

Imaging appendices

Chapter 4 Role of the trauma nurse

Organisational aspects

Clinical and technical skills

Primary survey

Secondary survey

Special circumstances

Transfer of the patient

Trauma nurse coordinators

Chapter 5 Airway management in trauma.

Introduction

Airway assessment

Securing the airway

Ventilation and intubation

Chapter 6 Thoracic trauma

Mechanisms and patterns of thoracic injury

Penetrating trauma

Pathophysiological changes

Primary survey and resuscitation

Investigations

Traumatic cardiac arrest and emergency department thoracotomy

Accompanying online content

A6 Thoracic trauma imaging appendix

Role of imaging

Radiology tips

Chapter 7 Shock and hypovolaemia following trauma

Pathophysiology

Clinical assessment

Resuscitation

Developing concepts

Chapter 8 Head trauma

Background

Pathophysiology of head trauma

Initial assessment of head injuries

Radiological assessment in head injuries

Admission or discharge?

Inpatient management

Paediatric head injuries

Delayed effects of head injury

Post-head trauma rehabilitation

A8 Head trauma imaging appendix

Interpretation

Intracranial haemorrhage

Secondary brain injury

Associated findings

Useful online resources

Chapter 9 Maxillofacial trauma

Specific craniomaxillofacial injuries

Children

Advanced imaging: facial trauma

Medication

Reference

Chapter 10 Eye trauma

Applied anatomy

Assessment of ophthalmic trauma

ABCDEF of ophthalmology

Practical approach to ophthalmic trauma

Chapter 11 Ear, nose and throat trauma

Ear trauma

Nasal trauma

Soft-tissue neck trauma

Chapter 12 Abdominal trauma.

Applied abdominal anatomy

Mechanisms and patterns of injury

Decision-making in patients with abdominal trauma

Management of abdominal trauma

Specific anatomical/organ patterns of injury

A12 Abdominal trauma imaging appendix

Interpretation of computed tomography

Chapter 13 Urinary tract trauma

Upper urinary tract trauma

Lower urinary tract

Chapter 14 Pelvic trauma

Management on scene

Transfer to hospital

Imaging

Intervention

Definitive management

The aftermath

Accompanying website content for Chapter W14

A14 Pelvic trauma imaging appendix

CT interpretation: ABCs

Chapter 15 Musculoskeletal trauma

Pre-hospital management

Primary survey in hospital: life-threatening limb injuries

The secondary survey

Management of fractures in the polytrauma setting

Rehabilitation

Case example

A15 Musculoskeletal trauma imaging appendix

Computed tomography interpretation: ABCs

Chapter 16 Acute spinal injury

Mechanism of injury

Pre-hospital care

Management in the emergency department

Clinical assessment for an SCI

Radiological imaging

Decision-making

Reassessment

Definitive care

Spine stability further reading

A16 Spinal trauma imaging appendix

CT interpretation - ABCs

Further reading.

Chapter 17 Early imaging in trauma and interventional radiology

Types of imaging

Interventional radiology

Chapter 18 Psychological trauma

Psychological responses to trauma

Management of psychological responses to trauma

Psychological impact on carers including trauma teams

Chapter 19 Supporting distressed relatives and breaking bad news

Initial contact

Arrival of relatives at the hospital

Breaking the news

Care of relatives

Information and follow-up

Staff support

Chapter 20 Transfer of the trauma patient

Initial decision-making, communication and coordination

Clinical aspects of transfer

Patient preparation and packaging

Training and education

Clinical governance and audit

Chapter 21 Rehabilitation of patients with major trauma

What is rehabilitation?

Key principles and processes in the rehabilitation pathway

The rehabilitation assessment

Common barriers to rehabilitation after trauma

The role of the rehabilitation medicine physician

Considerations for rehabilitation of specific injuries in the acute setting

Assessing disability and measuring outcomes

Accompanying website content for Chapter W21

Websites

Section II Special circumstances

Chapter 22 Paediatric trauma

Pre-alert

Preparation for paediatric major trauma

Non-accidental injuries

Paediatric rehabilitation

References.

A22 Paediatric trauma imaging appendix

Normal variants

Chapter 23 Trauma in pregnancy

Anatomical changes during pregnancy

Pathophysiological changes during pregnancy

Types of trauma

Specific conditions associated with trauma in pregnancy

Pre-hospital situation

Trauma alert

Prior planning and preparation

Assessment of fetal well-being and viability

Patient's notes

Specific interventions

Cardiac arrest

Chapter 24 Trauma in the older person

Initiating the trauma response

Transfer to the resuscitation bay

AMP(L)E history

Safeguarding

A more compassionate approach

Chapter 25 Medical problems in trauma

Medical problems causing trauma

Medical problems caused by trauma

Medical problems that may complicate trauma

The future

Chapter 26 Management of severe burns

Evacuation from the scene

Reception and resuscitation

Criteria for transfer to specialised burns service

Management of the burn wound

Special types of burns

Palliative care

Chapter 27 Chemical incidents and secondary contamination risks

Terminology

Health effects from chemical incidents

Assessing the contamination risk

Framework for protection against environmental hazards

Fundamentals of responding to chemical incidents

Chapter 28 Blade, ballistic and blast trauma

Applied basic science

Hospital management.

Rehabilitation.

Notes:

Previous ed.: 2013

Includes bibliographical references and index

Includes bibliographical references and index.

Description based on print version record.

ISBN:

1-119-49884-8

1-119-49886-4