Trauma Rules 2: Incorporating Military Trauma Rules

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John Wiley & Sons, 11 .. 2010 - 160 ˹
Trauma Rules 2 retains its lively and fun presentation to help you remember the essential principles of trauma care and feel confident about handling and treating patients appropriately in the first hours of injury. Thoroughly expanded and updated, and now including military trauma rules, the second edition of this popular pocket book now offers:
  • 70 easy-to-memorize rules covering the important aspects of trauma care
  • clear, authoritative explanations and instructive illustrations
  • the three principal stages of trauma management: approach to the patient, initial assessment and resuscitation, and investigation and definitive care

Trauma Rules 2 is compiled especially for those dealing with the immediate and early management of the severely injured patient.

 

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辺Ԩó 觢ŷ

so learn a system and stick to it
3
All 4 one and one for all
5
Civilian and military trauma care is different
7
Preparation
9
Any time preparing is time well spent
11
If in doubt call the Trauma Team
12
Save yourself before the casualty
15
The Team Leader is always right
17
Respiratory rate is the most sensitive indicator of deterioration but nurses record TP not TPR
72
Head injury alone does not cause hypotension
75
Resuscitate the mother and the baby will look after itself
77
Children are not small adults
79
Everyone is equal but some are more equal than others
80
Limb splintage is part of resuscitation
83
The Glasgow Coma Scale does not measure prognosis
85
A patient has a front a back two sides a top and a bottom
87

Approach to the patient
19
Assume the worst and proceed accordingly
21
Read the wreckage
22
Do a frisk or take a risk
24
Dont let the obvious distract from the occult
25
The Trauma Team can only look or listen not both
27
Initial assessment and resuscitation
29
Tourniquets save lives
31
If the bleeding is dramatic use a novel haemostatic
33
If you decide to crack the chest survivals almost nil at best
35
The airway is more important than the cervical spine
37
When NEXUS guidelines clear the spine the spinal boards a waste of time
38
All trauma patients are dying for oxygen
41
It is not lack of intubation that kills it is lack of oxygenation
43
Do not delay with a burned airway
45
Think of cricothyrotomy when all else fails
47
Look at the neck TWELVE times in the primary survey
49
A hard collar does not protect the cervical spine
51
All Trauma surgeons Occasionally Miss Cervical Fractures
53
When patients with facial injuries look up at heaven they will soon be there
54
Blood on the floor is lost forever more
55
Short and thick does the trick
57
Hidden blood loss will CRAMP your resuscitation
59
Surgery does not follow resuscitation it is part of resuscitation
60
The stabbed stay stabbed until they reach theatre
61
O Negative is good but you can have too much of a good thing
62
An injury above and below the abdomen implies an injury in the abdomen
65
A penetrating wound below the nipple involves the abdomen
67
Examination of the abdomen is as reliable as flipping a coin
68
Neurogenic shock is hypovolaemic shock until proved otherwise
69
Think of the causes of PEA or your patient is for THE CHOP
70
Put a finger in before putting a tube in
89
The agitated patient will calm down while deteriorating
91
You are not dead until you are death warmed up
92
The golden rule is golden fluid in the golden hour
93
It doesnt hurt to give analgesia
95
Investigation and definitive care 50 The golden hour belongs to the patient
99
You can assess vision with the eyes closed
100
You may read the newspaper but you cannot read the DPL
101
FAST procedure quick decision
105
A tension pneumothorax cannot be diagnosed on a chest Xray
107
A supine chest Xray may be worse than no chest Xray at all
108
Investigation must never impede resuscitation
109
Serial blood gases are the signposts on the road to resuscitation
111
Patients are transferred not their injuries or investigations
112
Never believe a transferring hospital
113
Better a negative laparotomy than a positive postmortem
115
Go down the middle and be liberal
117
Fix the pelvis to fix the bleeding
119
Biology is the mother of all fixation
120
The solution to pollution is dilution
121
It doesnt pay to be complacent about an elderly fracture of the rib
123
A missed tertiary survey is a missed injury
125
With multiple casualties do the most for the most
127
Black is beautiful and some things are never as black as they seem
128
Predicting survival is hit and miss with ISS and TRISS
129
Stop the clot before it stops the patient
131
The last rule Death is the only certainty in life
132
Readers rules
133
References
134
Index
141
ԢԷ

Ѻ - ٷ

շ辺

ǡѺ (2010)

Colonel Tim Hodgetts Honorary Professor of Emergency Medicine and Trauma, University of Birmingham, UK; Defence Consultant Advisor in Emergency Medicine, Royal Centre for Defence Medicine

Major Lee Turner Officer Commanding 2nd Health Support Team, Palmerston North, New Zealand

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