By American College of Surgeons
The ATLS® software used to be built to educate medical professionals one secure, trustworthy process for assessing and at the start coping with the trauma sufferer. The path teaches an prepared process for evaluate and administration of heavily injured sufferers and provides a origin of universal wisdom for all individuals of the trauma workforce. The emphasis is at the serious "first hour" of care, concentrating on preliminary evaluate, lifesaving intervention, reevaluation, stabilization, and, whilst wanted, move to a trauma heart. This ebook was once written to be used in ATLS® pupil classes and is up-to-date nearly each 4 years.
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Additional resources for ATLS: Advanced Trauma Life Suport Student Course Manual
J Emerg Med 1989;7:175-180. 31. Williams MJ, Lockey AS, Culshaw MC. Improved trauma management with Advanced Trauma Life Support (ATLS) training. J Accident Emerg Med 1997;14:81-83. 32. World Health Organization. The Injury Chart Book: a Graphical Overview of the Global Burden of Injuries. Geneva: World Health Organization Department of Injuries and Violence Prevention. Noncommunicable Diseases and Mental Health Cluster; 2002. 33. World Health Organization. Violence and Injury Prevention and Disability (VIP).
Transurethral bladder catheterization is contraindicated in patients in whom urethral injury is suspected. Urethral injury should be suspected in the presence of one of the following: ■ Blood at the urethral meatus ■ Perineal ecchymosis ■ High-riding or nonpalpable prostate Accordingly, a urinary catheter should not be inserted before the rectum and genitalia have been examined, if urethral injury is suspected. Urethral integrity should be confirmed by a retrograde urethrogram before the catheter is inserted.
Shock associated with injury is most often hypovolemic in origin. If the patient is unresponsive to initial crystalloid therapy, blood transfusion should be given. Hypothermia may be present when the patient arrives, or it may develop quickly in the ED if the patient is uncovered and undergoes rapid administration of room-temperature fluids or refrigerated blood. Hypothermia is a potentially lethal complication in injured patients, and aggressive measures should be taken to prevent the loss of body heat and restore body temperature to normal.