This pocket book contains over 60 easy to memorise rules covering the most important aspects of trauma care. It includes the approach to the patient initial assessment and resuscitation, and the investigation and definitive care. Armed with a copy on site, all on the trauma team will feel confident about handling and treating patients appropriately in the first hours of injury.
|Product dimensions:||5.50(w) x 8.60(h) x 0.30(d)|
Table of Contents
Approach to the patient.
1. Anxiety provokes memory loss: so learn a system and stick to it.
2. Save yourself before the casualty.
3. Assume the worst and proceed accordingly.
4. Do a frisk or take a risk.
5. Don’t let the obvious distract from the occult.
6. The trauma team can only look or listen, not both..
Initial assessment and resuscitation.
7. All trauma patients are dying for oxygen.
8. The airway is more important than the cervical spine.
9. It is not lack of intubation that kills, it is lack of oxygenation.
10. Do not delay with a burned airway.
11. Think of cricothyrotomy when all else fails.
12. Look at the neck six times in the primary survey.
13. A hard collar does not protect the cervical spine.
14. All trauma surgeons Occasionally Miss Cervical Fractures.
15. When patients with facial injuries look up at heaven they will soon be there.
16. Blood on the floor is forever lost to the patient.
17. Short and thick does the trick.
18. Hidden blood loss will CRAMP your resuscitation.
19. Surgery does not follow resuscitation, it is part of resuscitation.
20. O negative is good, but you can have too much of a good thing.
21. The stabbed stay stabbed until they reach theatre.
22. An injury above and below the abdomen implies an injury IN the abdomen.
23. A penetrating wound below the nipple involves the abdomen.
24. Examination of the abdomen is as reliable as flipping a coin.
25. Neurogenic shock is hypovolaemic shock until proved otherwise.
26. Think of the EMD causes or your patient is for THE CHOP.
27. Head injury alone does not cause hypotension.
28. Resuscitate the mother and the baby will look after itself.
29. Children are not small adults.
30. Limb splintage is part of resuscitation.
31. The Glasgow Coma Scale does not measure prognosis.
32. A patient has a front, a back, two sides, a top and a bottom.
33. Put a finger in before putting a tube in.
34. The agitated patient will calm down whilst deteriorating.
35. You are not dead until you are death warmed up.
36. The golden rule is golden fluid in the golden hour.
37. It doesn't hurt to give analgesia.
38. The team leader is always right.
39. If in doubt, call the trauma team..
Investigation and definitive care.
40. The golden hour belongs to the patient.
41. You can assess vision with the eyes closed.
42. You may read the newspaper, but you cannot read the DPL.
43. A tension pneumothorax cannot be diagnosed on a chest x-ray.
44. A supine chest x-ray may be worse than no chest x-ray.
45. Investigation must never impede resuscitation.
46. Serial blood gases are the signposts on the road to resuscitation.
47. The radiology department is a dangerous place.
48. Patients are transferred, not their injuries or investigations.
49. Never believe a transferring hospital.
50. Better a negative laparotomy than a positive post-mortem.
51. Go down the middle and be liberal.
52. Fix the pelvis to fix the bleeding.
53. Biology is the mother of all fixation.
54. The solution to pollution is dilution.
55. It doesn’t pay to be complacent about an elderly fracture of the rib.
56. A missed tertiary survey is a missed injury.
57. With multiple casualties do the most for the most.
58. Black is beautiful, and some things are never as black as they seem.
59. Rehabilitation begins at the roadside.
60. Death is the only certainty in life.
Most Helpful Customer Reviews
Very readable set of rules dealing with the basics of trauma care. A short, easy-to-remember headline starts each 'rule.' Appropriate drawings add to the overall quality of the book. Excellent refresher for anyone involved in trauma resuscitation and patient care.