Initial Management Of The Trauma Patient

The often complex problems of the trauma patient present manychallenges to front line emergency staff. Multiple injuriesinvolving many systems of the body require careful and timelyprioritisation and intervention in the emergency department. TraumaCare provides emergency nurses with a practical guide to thesystematic assessment and management of trauma patients, equippingthem with the clinical knowledge and practical skills necessary toinitially assess and care for the trauma patient in the emergencydepartment trauma environment. Trauma Care explores the concept of trauma assessment, focusing onpatient priorities and interprofessional trauma team working.Individual chapters look at the essential assessment and managementissues for each system of the body and specific age relatedcomplications. Emphasis is placed on key patient priorities, withacknowledgement to the common pitfalls in initial trauma care. Thistext will be essential for all emergency nurses, and those workingin the emergency department.

Care for patients who have suffered major trauma, for example following a road accident or a fall, has not significantly improved in the last 20 years despite numerous reports identifying poor practice, and services are not being delivered efficiently or effectively. Survival rates vary significantly, with a range from five unexpected survivors to eight unexpected deaths per 100 trauma patients, reflecting the variable quality of care. 450 to 600 lives could be saved each year in England if major trauma care was managed more effectively. For best outcomes care should be led by consultants experienced in major trauma; but major trauma is most likely to occur at night and at weekends, when consultants are not normally in the emergency department. Major trauma care is not coordinated and there are no formal arrangements for taking patients directly for specialist treatment or transferring them between hospitals. A significant number of patients that need a scan CT do not receive one. Not enough patients who need a critical care bed are given one. Access to rehabilitation services varies and patients are not always receiving the care that they need. The estimated annual lost economic output from deaths and serious injuries from major trauma is between £3.3 billion and £3.7 billion. Only 60 per cent of hospitals delivering major trauma care contribute to the Trauma Audit and Research Network (TARN). The performance of the 40 per cent of hospitals that do not submit data to TARN cannot be measured.

The second edition of Emergency and Trauma Care for Nurses and Paramedics provides the most up-to-date and comprehensive coverage of clinical procedures and issues encountered in contemporary emergency care in Australia and New Zealand. Written by leading academics and clinicians, this fully revised and updated edition follows the patient’s journey from pre-hospital retrieval to definitive care. With a strong focus on multidisciplinary care, this evidence-based emergency and trauma resource will appeal to pre-hospital care providers, rural, remote and urban emergency nurses and allied health professionals, as well as disaster management and interfacility transport staff. Essential concepts are covered in a logical order, commencing with: An introduction to emergency professions and professional issues Clinical and health systems Patient presentations ordered by body system as well as toxicology, envenomation, ocular, environmental emergencies and unique population groups Major trauma assessment and management and end-of-life care information and considerations. Emergency and Trauma Care for Nurses and Paramedics 2e continues to be the pre-eminent resource for students preparing to enter the emergency environment and for clinicians seeking a greater understanding of multidisciplinary care from retrieval through to rehabilitation. A cultural safety approach is included throughout - addressing cultural diversity, beliefs and values and focusing on Aboriginal and Torres Strait Islander health and Mãori health Essentials outline the main points addressed in each chapter Practice tips throughout assist with communication skills, procedures and assessment Case studies are supported by questions and answers to encourage active learning New online resources available on Evolve, including over 30 new case studies with paramedic-specific questions. Highlighted skills - cross references to the Clinical Skills chapter throughout text Over 30 new case studies Patient journey from pre-hospital and emergency-specific case studies Critical thinking questions at the end of chapters Chapter 35 Obstetric emergencies now includes 'Supporting a normal birth'.

The only trauma management book written by emergency physicians for emergency physicians. Using illustrations, algorithms, and radiographs, this text highlights the most salient features and treatments of the various injury conditions. The goal of this text is to help readers answer the important question, "What should I do and when? Pre-hospital care, resuscitation, emergency department management, and disposition of the trauma patient are thoroughly covered. Authored by emergency physicians, rather than surgeons, this book provides excellent information on the acute management and diagnostic strategies of trauma patients. Tables and boxed text emphasize important information in each chapter. Comprehensive information in each chapter ensures that readers will not have to search for additional literature. Pitfalls and pearls emphasize each chapters most important features. Helpful algorithms provide readers with real-time care of the patient. Concerns central to emergency practice, whether it be in a level I trauma center or community hospital setting, are emphasized. Challenging case scenarios set the stage for each chapter.

Emergency Management of the Trauma Patient: Cases, Algorithms, Evidence provides a practical and realistic approach to managing a trauma code with a complete review of ATLS protocols. Each chapter begins with the presentation of a trauma scenario and emphasizes the clinical skills needed to make important management decisions. Literature references are highlighted within the chapters and provide a discussion of pivotal journal articles relevant to the topic at hand. Algorithms are integrated into the chapters to serve as a roadmap for patient management.

Fully revised and updated, the Oxford Handbook of Emergency Medicine is the definitive, best-selling guide for all of the common conditions that present to the emergency department. Whether you work in emergency medicine, or just want to be prepared, this book will be your essential guide. Following the latest clinical guidelines and evidence, written and reviewed by experts, this handbook will ensure you are up to date and have the confidence to deal with all emergency presentations, practices, and procedures. In line with the latest developments in the field, such as infection control, DNR orders, advanced directives and learning disability, the book also includes new sections specifically outlining patient advice and information, as well as new and revised vital information on paediatrics and psychiatry. For all junior doctors, specialist nurses, paramedics, clinical students, GPs and other allied health professionals, this rapid-reference handbook will become a vital companion for both study and practice.