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.
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Table of Contents
Contributors x
Foreword xiv
Preface xv
Acknowledgements xvi
Abbreviations xvii
About the companion website xx
How to use your textbook xxi
Section I General circumstances 1
1 The development and organisation of trauma services 3
David Bramley, Peter N. Goode, Michael Hüpfl and Brian Burns
2 Pre- hospital trauma care 13
John J. M. Black and Jonathan Howes
3 Initial assessment and resuscitation of the trauma patient 30
Peter N. Goode, David V. Skinner, Peter A. Driscoll, Ed Norris- Cervetto and Jon Walker
4 Role of the trauma nurse 55
Rob Way
5 Airway management in trauma 64
Luke Armstrong and Liza Keating
6 Thoracic trauma 74
Peter N. Goode, Dion Arbid, Peter A. Driscoll, Sion Barnard and Robert D. Jarman
7 Shock and hypovolaemia following trauma 104
Ashley Clews, Fiona Lecky and Peter A. Driscoll
8 Head trauma 115
Peter N. Goode, Alan C. Sweenie, Christopher J. A. Cowie and Helen E. Hastie
9 Maxillofacial trauma 137
Steve R. Watt- Smith, Sarah J. Wilson and Karen A. Eley
10 Eye trauma 151
Peter S. Phelan Copyrighted Material
11 Ear, nose and throat trauma 158
Paul Counter
12 Abdominal trauma 167
Thomas Hughes, Ben Bloom and Peter A. Driscoll
13 Urinary tract trauma 185
Alexander West, John Piedad, Lara Hemsworth and Nikhil Vasdev
14 Pelvic trauma 194
Al Mountain, Simon Scott and James Shelton
15 Musculoskeletal trauma 209
Paul V. Fearon, Steven Aldridge and Lee Hoggett
16 Acute spinal injury 225
Nick Todd
17 Early imaging in trauma and interventional radiology 250
Joshua Lauder and Peter A. Driscoll
18 Psychological trauma 259
P. Amos Simms
19 Supporting distressed relatives and breaking bad news 267
Chris A. J. McLauchlan
20 Transfer of the trauma patient 276
Charles Lee
21 Rehabilitation of patients with major trauma 289
Laura Graham
Section II Special circumstances 299
22 Paediatric trauma 301
Julie Grice, Jacqueline Hardcastle, Sarah Stibbards and Mike Schofield
23 Trauma in pregnancy 332
Rebecca S. Black, Deborah J. Harrington, Rosamunde Burns, R. John Elton, Kyle Gibson, Brigid Hayden, Audrey Jeffrey, Dean Kerslake, Darren Walter, Arlene Wise and Kara Dent
24 Trauma in the older person 346
Charlotte Bates, Laurence Chuter and Jackie Gregson
25 Medical problems in trauma 358
Thomas Hughes
26 Management of severe burn 368
Sarah Pape and Angela J. Sollars
27 Chemical incidents and secondary contamination risks 383
Lorraine Stewart
28 Blade, ballistic and blast trauma 393
Peter F. Mahoney, John- Joe Reilly and Nabeela S. Malik
29 Major incidents. Part 1: The emergency services’ response at the scene 403
John J. M. Black, Lizle Blom and James Amos
30 Major incidents. Part 2: The hospital’s response 419
John J. M. Black, Lizle Blom and Peter A. Driscoll
31 Trauma systems in low- and middle- income countries 432
Anthony D. Redmond
Section III Quality improvement in trauma care 437
32 Non- technical skill factors in trauma management 439
Laura Duffy, Peter N. Goode and Peter A. Driscoll
33 Evaluating the effectiveness of trauma care 450
Antoinette Edwards, Laura White and Fiona Lecky
Imaging appendices
A3 Initial assessment and management of the trauma patient. Imaging appendix: computed tomography overview 50
Joshua Lauder and Peter A. Driscoll
A6 Thoracic trauma imaging appendix 95
Joshua Lauder and Peter A. Driscoll
A8 Head trauma imaging appendix 127
Joshua Lauder and Peter A. Driscoll
A12 Abdominal trauma imaging appendix 178
Joshua Lauder and Peter A. Driscoll
A14 Pelvic trauma imaging appendix 202
Joshua Lauder and Peter A. Driscoll
A15 Musculoskeletal trauma imaging appendix 220
Joshua Lauder and Peter A. Driscoll
A16 Spinal trauma imaging appendix 239
Joshua Lauder and Peter A. Driscoll
A22 Paediatric trauma imaging appendix 320
Joshua Lauder, Vivian Tang and Peter A. Driscoll
Accompanying website chapters
W2 Adult and paediatric pre-hospital equipment check list
Charles Lee
W3 Initial assessment and management of the trauma patient: the trauma team leader’s assessment of the whole-body computed tomography
Alex Valkov, Joshua Lauder and Peter A. Driscoll
W6 Thoracic trauma
Peter N. Goode, Dion Arbid, Peter A. Driscoll, Sion Barnard and Robert D. Jarman
W13 Urinary tract trauma
Alexander West, John Piedad, Lara Hemsworth and Nikhil Vasdev
W14 Pelvic trauma
Alistair Mountain, Simon Scott and James Shelton
W15 Musculoskeletal trauma
Paul V. Fearon, Steven Aldridge and Lee Hoggett
W17 Early imaging in trauma and interventional radiology
Joshua Lauder and Peter A. Driscoll
W21 Rehabilitation of patients with major trauma
Laura Graham
W22 Paediatric trauma
Julie Grice, Jacqueline Hardcastle, Sarah Stibbards and Mike Schofield
W28 Blade, ballistic and blast trauma
Peter F. Mahoney, John-Joe Reilly and Nabeela S. Malik
W29 Major incidents. Part 1: The emergency services’ response
Christian Cooper and John J. M. Black
W30 Major incidents. Part 2: The hospital’s response
John J. M. Black, Lizle Blom and James Amos
Index 455
