Book contents
- Intensive Care Medicine
- Intensive Care Medicine
- Copyright page
- Dedication
- Dedication
- Epigraph
- Contents
- Contributors
- Preface
- Foreword
- Abbreviations
- Section 1 Resuscitation and Management of the Acutely Ill Patient
- Introduction
- Chain of Survival
- Leadership
- Practical Leadership Issues
- Technical
- Special Circumstances
- Cessation of CPR
- National Audit and Training
- Introduction
- Post-cardiac Arrest Syndrome
- Airway and Breathing
- Circulation
- Disability
- Exposure
- Prognostication and Organ Donation
- Introduction
- Considerations When Triaging
- Admission to ICU Ideals
- Discharge Planning
- Department of Health Guidelines 2000/Updated Review 2011
- Introduction
- Pre-arrival Preparation
- The Primary Survey
- Secondary Survey
- Consideration for the Need to Transfer
- The Multiple Injured Patient – Early Total Care versus Damage Control Surgery
- Conclusion
- Assessment
- Estimating Burn Depth and % TBSA
- Severe Burns
- Initial Management
- Acknowledgements
- Definitions
- Planning
- Principles of Treatment in a Mass Casualty Incident
- Declaration of a Mass Casualty Incident
- Command and Control
- Preparing for Arrival of Casualties
- Lessons from Previous Incidents
- 1.1 General Introduction to the Recognition, Assessment and Stabilisation of the Acutely Ill Patient with Disordered Physiology
- 1.2 Management of Cardiopulmonary Resuscitation – Advanced Life Support
- 1.3 Principles of Management of the Patient Post-resuscitation
- 1.4 Principles of Triaging and Prioritising Patients Appropriately, Including Timely Admission to ICU
- 1.5 Initial Assessment and Management of the Trauma Patient
- 1.6 Principles of Assessment and Initial Management of the Patient with Burns
- 1.7 Description and Management of Mass Casualties
- Section 2 Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation
- Domain 3 Disease Management: Recognition, Causes and Management
- Section 4 Therapeutic Interventions and Organ Support
- Domain 5 Practical Procedures
- Section 6 Perioperative Care
- Section 7 Comfort and Recovery
- Section 8 End-of-Life Care
- Section 9 Paediatric Care
- Section 10 Transport
- Section 11 Professionalism, Patient Safety, Governance and Health Systems Management
- Index
- References
1.5 - Initial Assessment and Management of the Trauma Patient
from Section 1 - Resuscitation and Management of the Acutely Ill Patient
Published online by Cambridge University Press: 27 July 2023
By
Book contents
- Intensive Care Medicine
- Intensive Care Medicine
- Copyright page
- Dedication
- Dedication
- Epigraph
- Contents
- Contributors
- Preface
- Foreword
- Abbreviations
- Section 1 Resuscitation and Management of the Acutely Ill Patient
- Introduction
- Chain of Survival
- Leadership
- Practical Leadership Issues
- Technical
- Special Circumstances
- Cessation of CPR
- National Audit and Training
- Introduction
- Post-cardiac Arrest Syndrome
- Airway and Breathing
- Circulation
- Disability
- Exposure
- Prognostication and Organ Donation
- Introduction
- Considerations When Triaging
- Admission to ICU Ideals
- Discharge Planning
- Department of Health Guidelines 2000/Updated Review 2011
- Introduction
- Pre-arrival Preparation
- The Primary Survey
- Secondary Survey
- Consideration for the Need to Transfer
- The Multiple Injured Patient – Early Total Care versus Damage Control Surgery
- Conclusion
- Assessment
- Estimating Burn Depth and % TBSA
- Severe Burns
- Initial Management
- Acknowledgements
- Definitions
- Planning
- Principles of Treatment in a Mass Casualty Incident
- Declaration of a Mass Casualty Incident
- Command and Control
- Preparing for Arrival of Casualties
- Lessons from Previous Incidents
- 1.1 General Introduction to the Recognition, Assessment and Stabilisation of the Acutely Ill Patient with Disordered Physiology
- 1.2 Management of Cardiopulmonary Resuscitation – Advanced Life Support
- 1.3 Principles of Management of the Patient Post-resuscitation
- 1.4 Principles of Triaging and Prioritising Patients Appropriately, Including Timely Admission to ICU
- 1.5 Initial Assessment and Management of the Trauma Patient
- 1.6 Principles of Assessment and Initial Management of the Patient with Burns
- 1.7 Description and Management of Mass Casualties
- Section 2 Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation
- Domain 3 Disease Management: Recognition, Causes and Management
- Section 4 Therapeutic Interventions and Organ Support
- Domain 5 Practical Procedures
- Section 6 Perioperative Care
- Section 7 Comfort and Recovery
- Section 8 End-of-Life Care
- Section 9 Paediatric Care
- Section 10 Transport
- Section 11 Professionalism, Patient Safety, Governance and Health Systems Management
- Index
- References
Summary
Key Learning Points
1. Initial assessment and management of a trauma patient require a structured team approach, with good communication and leadership. Often this is best coordinated by someone standing back from the action, and thus able to take account of the whole unfolding scenario.
2. All members should have appropriate personal protection equipment, especially with the recent global coronavirus disease (COVID-19) pandemic.
3. The primary survey using an ABCDE approach is undertaken with the aim to rule out, and treat, any life-threatening injuries.
4. Once the patient has been stabilised with regard to the initial insult, then a full head-to-toe secondary survey examination needs to be performed to identify, treat and document any remaining injuries present.
5. It is important to ask the question: ‘Do the patient’s treatment needs exceed the capability of this receiving institution?’. If the answer is yes, then urgent referral should be made to a major trauma centre.
- Type
- Chapter
- Information
- Intensive Care MedicineThe Essential Guide, pp. 11 - 13Publisher: Cambridge University PressPrint publication year: 2021
References
References and Further Reading
American College of Surgeons. Advanced Trauma Life Support®, 10th edn. Chicago, IL: American College of Surgeons; 2018.Google Scholar
Davenport, RA, Brohi, K. Cause of trauma-induced coagulopathy. Curr Opin Anaesthesiol 2016;29:212–19.CrossRefGoogle ScholarPubMed
Lamb, CM, MacGoey, P, Navarro, AP, Brooks, AJ. Damage control surgery in the era of damage control resuscitation. Br J Anaesth 2014;113:242–9.CrossRefGoogle ScholarPubMed