Trauma Operative Procedures

1. Front Matter

   Pages I-XI

   PDF

2. Planning, organisation, education, triage and research in immediate medical care: an introduction

   • J. F. Baskett

   Pages 1-7

3. Current trauma scoring systems and their applications: a review

   • L. A. van Camp, H. Delooz

   Pages 9-29

4. Assessing the severity of trauma and the quality of trauma care

   • G. Berlot, H. Delooz, A. Gullo

   Pages 31-37

5. Trauma transport

   • M. Lipp, W. F. Dick

   Pages 39-47

6. A pre-hospital pharmacological review

   • G. Trillò, G. Berlot

   Pages 49-53

7. Haemorrhagic shock: pathophysiology and treatment

   • G. P. Novelli, A. Di Filippo

   Pages 55-63

8. Fluid management in trauma

   • J. Boldt

   Pages 65-72

9. Hydroxyethyl starch and coagulation

   • J. Treib, M. T. Grauer

   Pages 73-81

10. Colloid-induced renal complications

    • J. F. Baron

    Pages 83-90

11. Airway management

    • F. Agrò

    Pages 91-104

12. Thermal homeostasis in trauma patients

    • M. E. Crawford, H. Rask

    Pages 105-111

13. Prevention and management of pulmonary inhalation

    • M. E. Crawford, H. Rask

    Pages 113-118

14. Vasopressors and inotropes in trauma: when, where, how long

    • G. Berlot, G. Trillò, A. Gullo

    Pages 119-125

15. Creating a trauma anaesthesia service

    • M. J. A. Parr, J. P. Nolan, G. Desjardins

    Pages 127-143

16. Anaesthetic implications of drug abuse in trauma patients

    • M. J. A. Parr, R. J. H. Hadfield

    Pages 145-160

17. Common PACU problems in trauma patients

    • W. Lingnau

    Pages 161-168

18. Three-in-one block as locoregional analgesia for hip fractures

    • K. Bronselaer, M. Gillis, H. Delooz

    Pages 169-173

19. Recommendations for blood transfusion in trauma patients

    • F. Mercuriali, G. Inghilleri

    Pages 175-188

20. Update on cardiopulmonary resuscitation: guidelines for volunteers

    • E. Cerchiari, G. Sesana

    Pages 189-195

Trauma has assumed a prominent role in contemporary medicine as an event that can significantly influence clinical variables such as morbidity, functional deficits and consequential disability, and mortality. Trauma is the principal cause of death in the population below 40 years of age in industrialized coun­ tries. Therefore, there is great interest in studying traumatic events from both the clinical and epidemiological viewpoints. The importance of trauma is exem­ plified by the fact that in many countries the trauma patient is first treated in specialized "trauma centers", in which the diagnostic and treatment processes are facilitated by the 24-hour presence of personnel having interdisciplinary competencies. Trauma in this context consists of any acute, often unexpected, condition. Many of the medical difficulties associated with trauma occur in a relatively brief period that spans from the first call for help to the initiation of first aid measures. A correct approach depends on the availability of experienced personnel. The first measures of aid must guarantee, above all, the patient's survival. The most critical, initial phases of care to trauma patients are represented by the triad: first aid, triage, and transport. Specific morbidity indices, whether anatomical, func­ tional or mixed, are indispensable elements for monitoring a patient's clinical evolution. The immediate availability of "essential" drugs is imperative to con­ front the clinical situations that often present in the acute post-traumatic phase.

• The ABC of trauma care
• airway management
• analgesics
• regional transfusion
• sedatives
• transportation
• trauma
• trauma anesthesia

• Department of Anaesthesia, Intensive Care and Pain Therapy, Cattinara Hospital, Trieste, Italy

  G. Berlot, A. Gullo

• Department of Emergency Medicine, University Hospitals, Catholic University, Leuven, Belgium

  H. Delooz

Policies and ethics