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HANDBOOK

HANDBOOK OF TRAUMA CARE
The Liverpool Hospital Trauma Manual
6th Edition
ISBN 1 74079 027 8

PREFACE
ACKNOWLEDGEMENTS
AUTHORS
TABLE OF CONTENTS
i
ii
v
ix
SECTION 1
TRAUMA SERVICE OVERVIEW AND
ADMINISTRATION
1.  Liverpool Hospital and Southwest Sydney
2.  Departments
3.  Service Area


3
7
13
4. Trauma Hotline
5.  Communications
6.  Education
7.  Trauma Registry
21
27
31
35
SECTION 2
TRAUMA TEAM
1.  Members, Roles and Responsibilities
2.  Pre-Arrival Preparation
3.  Activation Criteria
4.  Universal Precautions
5.  Team and Resource Management
6.  Multiple Trauma Patients /
      Disaster Response
7.  Resuscitation Room Documentation


41
49
53
55
57
59
61
SECTION 3
CLINICAL GUIDELINES
1.  Pre-Hospital Information and Hand-over
2.  Primary Survey
3.  Adjuncts to Primary Survey
4.  Secondary Survey
5.  Adjuncts to Secondary Survey


67
69
75
77
85
6.  Investigations
7.  Priorities and Sequencing
8.  Fluids
89
95
97
SECTION 4
MANAGEMENT ALGORITHMS
1.  Blunt Abdomen
2.  Penetrating Abdomen
3.  Widened Mediastinum
4.  Penetrating Chest
5.  Moribund Penetrating Chest
6.  Penetrating Extremity
7.  Penetrating Neck

107
108
109
110
112
113
114
8.  Pelvic Fractures - Haemodynamic Instability
9.  Cervical Spine Clearance
10.  Suspected Spinal Cord Injury
11.  Head Injury – Mild
12.  Head Injury – Severe
13.  Suspected Urethral Injury
14.  Moribund Patient
15.  MAST Suit Removal
115
116
117
118
119
120
121
122


 
SECTION 5
PROCEDURES
1.  Extremity Immobilisation
2.  Spinal Immobilisation
3.  Venous Cutdown
4.  Central Venous Catheters

127
129
131
135
5.  Intraosseous Catheters
6.  Arterial Lines
7.  Chest Drains
8.  Focused Abdominal Sonography in Trauma
      (FAST)
9.  Diagnostic Peritoneal Aspiration (DPA) /
   Diagnostic Peritoneal Lavage (DPL)
143
147
151
155
161
10. ED Thoracotomy
11. Cricothyroidotomy
12. Pericardiocentesis
13. Medical Anti Shock Trousers (MAST)
14. Packing for Massive Nasopharyngeal Bleeding
167
171
177
179
183
SECTION 6
DEFINITIVE CARE
1.  Decision Making
     Decisions based on limited information
     Goals in the second hour
     Critical decision nodes
2.  Documentation of Definitive Care
3.  Prioritisation of Procedures and
        Investigations
4.  Consent

189
191
193
199
207
209
213
5.  Admitting Doctor
6.  Daily Patient Care and Follow-up
7.  Tertiary Survey
8.  Clinical Pathways
9.  Thromboembolism and Tetanus Prophylaxis
10. Rehabilitation
11. Trauma Anaesthesia
217
219
221
223
225
229
235
SECTION 7
TRANSPORT AND DISPOSITION
1. Intra-Hospital Transfer
2. Transferring Patients out of Liverpool
     Hospital
3. Patient Disposition

243
247
251
SECTION 8
SPECIAL SITUATIONS
1.  Paediatrics
2.  Pregnancy
3.  The Elderly

257
261
269
4.  Hypothermia
5.  Burns
273
287

To purchase a copy of the pocket sized manual please send an email to Sonia Gagliardi or call 61 2 9828 3928. View details here.

To view the 1994 version of the Trauma Handbook please click here.

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