Advanced Trauma Life Support ATLS 9th Edition

▻SKILL STATION XIII: Musculoskeletal Trauma: Assessment and Management 224 ... 22. ▻SKILL STATION I: Initial Assessment and. Management. 23. Skill I-A: Primary Survey Resuscitation. 24. Skill I-B: Secondary Survey and Management. 25. Skill I-C: Patient ..... to access online medical direction (direct medical con-.
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Brief Contents CHAPTER 1  Initial Assessment and Management

2

 SKILL STATION I: Initial Assessment and Management

23

CHAPTER 2  Airway and Ventilatory Management

30

 SKILL STATION II: Airway and Ventilatory Management  SKILL STATION III: Cricothyroidotomy

50 58

CHAPTER 3  Shock

62

 SKILL STATION IV: Shock Assessment and Management  SKILL STATION V: Venous Cutdown (Optional Station)

82 92

CHAPTER 4  Thoracic Trauma

94

 SKILL STATION VI: X-Ray Identification of Thoracic Injuries  SKILL STATION VII: Chest Trauma Management

113 118

CHAPTER 5  Abdominal and Pelvic Trauma

122

 SKILL STATION VIII: Focused Assessment Sonography in Trauma (FAST)  SKILL STATION IX: Diagnostic Peritoneal Lavage (Optional)

141 145

CHAPTER 6  Head Trauma

148

 SKILL STATION X: Head and Neck Trauma: Assessment and Management

170

CHAPTER 7  Spine and Spinal Cord Trauma

174

 SKILL STATION XI: X-Ray Identification of Spine Injuries  SKILL STATION XII: Spinal Cord Injury Assessment and Management

194 199

CHAPTER 8  Musculoskeletal Trauma

206

 SKILL STATION XIII: Musculoskeletal Trauma: Assessment and Management 224



CHAPTER 9  Thermal Injuries

230

CHAPTER 10  Pediatric Trauma

246

CHAPTER 11  Geriatric Trauma

272

CHAPTER 12  Trauma in Pregnancy and Intimate Partner Violence

286

CHAPTER 13  Transfer to Definitive Care

298

APPENDICES

309

INDEX

355

v

Contents Foreword Preface Acknowledgements Course Overview

CHAPTER 1 Initial Assessment and Management Preparation Triage Primary Survey Resuscitation Adjuncts to Primary Survey and Resuscitation Consider Need for Patient Transfer Secondary Survey Adjuncts to the Secondary Survey Reevaluation Definitive Care Disaster Records and Legal Considerations Teamwork CHAPTER SUMMARY BIBLIOGRAPHY

vii ix xv xxiii

2 4 6 6 10 11 13 13 18 19 19 20 20 20 22 22

 SKILL STATION I: Initial Assessment and Management

23

Skill I-A: Primary Survey Resuscitation Skill I-B: Secondary Survey and Management Skill I-C: Patient Reevaluation Skill I-D: Transfer to Definitive Care Skill I-E: After-Action Review

24 25 28 28 28

CHAPTER 2 Airway and Ventilatory Management Airway Ventilation Airway Management Management of Oxygenation Management of Ventilation CHAPTER SUMMARY BIBLIOGRAPHY

30 32 34 34 46 46 47 48

 SKILL STATION II: Airway and Ventilatory



Management

50

Scenarios Skill II-A: Oropharyngeal Airway insertion Skill II-B: Nasopharyngeal Airway Insertion Skill II-C: Bag-Mask Ventilation: Two Person Technique Skill II-D: Adult Orotracheal Intubation

51 51 52 52 52

Skill II-E: Laryngeal Mask Airway (LMA) and   Intubating LMA (ILMA) Insertion Skill II-F: Laryngeal Tube Airway (LTA) Insertion Skill II-G: Infant Endotracheal Intubation Skill II-H: Pulse Oximetry Monitoring Skill II-I: Carbon Dioxide Detection

 SKILL STATION III: Cricothyroidotomy Skill III-A: Needle Cricothyroidotomy Skill III-B: Surgical Cricothyroidotomy

CHAPTER 3 Shock Shock Pathophysiology Initial Patient Assessment Hemorrhagic Shock Initial Management of Hemorrhagic Shock Evaluation of Fluid Resuscitation and   Organ Perfusion Therapeutic Decisions Based on Response to   Initial Fluid Resuscitation Blood Replacement Special Considerations Reassessing Patient Response and   Avoiding