Principles of trauma management

Mallory Williams, Selwyn O. Rogers

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Citation (Scopus)

Abstract

Trauma is a surgical disease that results in more than 5 million deaths worldwide each year. In the United States, standardized management principles have evolved to address variations in processes of care to improve the outcomes of traumatized patients. The American College of Surgeons developed the Advanced Trauma Life Support (ATLS) and tiered levels of trauma care to improve trauma outcomes across the United States. In many settings, surgeons and emergency medicine physicians participate in the initial workup of trauma patients. The principle of the golden hour refers to the limited time available to intervene effectively to salvage life and limb. The golden hour calls for the immediate prioritization and management of the trauma patient according to ATLS principles. The ABCDE mnemonic was developed to enforce prioritization in trauma management in descending order of importance: Airway and cervical spine protection Breathing Circulation and hemorrhage control Disability and neurologic status Exposure and environmental aspects ATLS outlines the fundamental management concepts of the trauma patient: Treat injuries that have the greatest risk to life first. Lack of definitive diagnosis should never impede the application of an indicated treatment. A detailed history is not essential in the evaluation and treatment of the injured patient. We will review the components of the primary survey in the evaluation of the trauma patient, focusing on what an anesthesiologist should know.

Original languageEnglish (US)
Title of host publicationEssential Clinical Anesthesia
PublisherCambridge University Press
Pages1007-1009
Number of pages3
ISBN (Print)9780511842306, 9780521720205
DOIs
StatePublished - Jan 1 2011
Externally publishedYes

Fingerprint

Wounds and Injuries
Advanced Trauma Life Support Care
Limb Salvage
Emergency Medicine
Environmental Exposure
Nervous System
Respiration
Spine
History
Hemorrhage
Physicians
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Williams, M., & Rogers, S. O. (2011). Principles of trauma management. In Essential Clinical Anesthesia (pp. 1007-1009). Cambridge University Press. https://doi.org/10.1017/CBO9780511842306.165

Principles of trauma management. / Williams, Mallory; Rogers, Selwyn O.

Essential Clinical Anesthesia. Cambridge University Press, 2011. p. 1007-1009.

Research output: Chapter in Book/Report/Conference proceedingChapter

Williams, M & Rogers, SO 2011, Principles of trauma management. in Essential Clinical Anesthesia. Cambridge University Press, pp. 1007-1009. https://doi.org/10.1017/CBO9780511842306.165
Williams M, Rogers SO. Principles of trauma management. In Essential Clinical Anesthesia. Cambridge University Press. 2011. p. 1007-1009 https://doi.org/10.1017/CBO9780511842306.165
Williams, Mallory ; Rogers, Selwyn O. / Principles of trauma management. Essential Clinical Anesthesia. Cambridge University Press, 2011. pp. 1007-1009
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