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.
About the ABC series
The ABC series has been designed to help you access information quickly and deliver the best patient care, and remains an essential reference tool for GPs, junior doctors, medical students and healthcare professionals.
Now offering over 80 titles, this extensive series provides you with a quick and dependable reference on a range of topics in all the major specialties.
The ABC series is the essential and dependable source of up-to-date information for all practitioners and students in primary healthcare.
To receive automatic updates on books and journals in your specialty, join our email list. Sign up today at www.wiley.com/email
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
Peter A. Driscoll, Professor and lead for Clinical Anatomy, UCLan, UK. He was previously a Professor, Royal College of Emergency Medicine; Director of the Physician Associate programme, UCLan. Co-founder of the European Trauma Course and the Advanced Life Support Group. Editor and author of several publications and books dealing with various aspects of emergency care and trauma management. David V. Skinner, an author and editor of all editions of the book, now retired, but retaining a strong interest in the development of the care of the injured patient. Previously a Consultant in Emergency Medicine (London and Oxford), Dean of the Royal College of Emergency Medicine, Chair of the ATLS committee (1988-92) and Project executive team Chairman, NICE (responsible for the development and publication of five trauma guidelines (2016)). Peter N. Goode, Consultant in Emergency Medicine, North Cumbria University Hospitals NHS Trust, UK. He was formerly a Consultant in Emergency Medicine, Major Trauma Centre Royal Victoria Infirmary, Newcastle upon Tyne, while also being a Lead Clinician for the development of the Northern Trauma Network and MTCs in Northeast England and former External Assessor for the Clinical Standards Panel of the Great North Air Ambulance. Member of the ETC development group, former Chair of the ETC education group, Vice Chair of ETC UK and co-editor of the fourth edition of the ETC Course Manual.
