The Integrated Approach to Trauma Care: The First 24 Hours (Update in Intensive Care and Emergency Medicine, 22)

This book concentrates on problems generated by acute care in severely traumatized patients during the first 24 hours after injury. During this hectic period, highly complicated problems have to be solved at the site of the accident, during transport to hospital, and in hospital. Multiple medical and paramedical disciplines are involved in providing care to the severely injured. This book endeavors to present a problem-oriented approach to the diagnostic, therapeutic, and organizational aspects that may be encountered. Front Matter....Pages I-IX Trauma Care in Europe 1995....Pages 1-12 Methods of Registration and Injury Severity Scoring....Pages 13-24 Extrication and Immobilization of the Severe Trauma Victim: How It Is Done....Pages 25-39 Early Intubation in Trauma Patients....Pages 40-51 Early Ventilation in Trauma Patients....Pages 52-61 Analgesia and Sedatives in Emergencies....Pages 62-77 Causes of Shock in the Severely Traumatized Patient: Emergency Treatment....Pages 78-87 Volume Infusion in Traumatic Shock....Pages 88-97 End-Points of Resuscitation....Pages 98-105 Standard Diagnostic Workup of the Severely Traumatized Patient....Pages 106-113 Radiology in Chest Trauma Patients....Pages 114-127 The Role of Ultrasound in the Management of Blunt Abdominal Trauma....Pages 128-132 Diagnostic Procedures in Abdominal and Retroperitoneal Injury....Pages 133-141 Diagnostic Procedures in Spine, Pelvic, and Extremity Injuries....Pages 142-156 Anesthesiological Management of the Severely Traumatized Patient in the Operating Theatre....Pages 157-171 Therapeutic Sequences in the Acute Period in Unstable Patients....Pages 172-178 Surgical Procedures in the Stabilized Patient....Pages 179-195 Monitoring and Treatment of Acute Head Injury....Pages 196-210 Treatment of Abdominal Injuries....Pages 211-218 Treatment of Extremity Injuries in Polytraumatized Patients: Timing of Osteosynthesis and Other Important Factors....Pages 219-232 Prevention of General Complications: Hypothermia, Coagulation Disorders, Infection and Acute Respiratory Distress Syndrome....Pages 233-245 Prevention of Local Complications....Pages 246-259 The Severe Trauma Patient in the ICU....Pages 260-268 Back Matter....Pages 269-273