TY - BOOK AU - Campbell,John E. TI - BTLS: basic trauma life support for the paramedics and the other advanced providers / SN - 0131123513 PY - 2005/// CY - Upper Saddle River, N.J. PB - Pearson/Prentice Hall KW - Emergency medicine KW - Life support systems (Critical care) KW - Emergency medical technicians KW - Emergency Medical Services KW - United States KW - Emergencies KW - Life Support Care KW - methods KW - Wounds and Injuries N1 - "25th Anniversary ed."-- Front cover; Includes bibliographical references and index; Contents Chapter 1 Scene Size-Up 1 Introduction 2 Philosophy of Assessment and Management of the Trauma Patient 2 Scene Size-Up 4 Body Substance Isolation Review 4 Scene Safety 4 Total Number of Patients 5 Essential Equipment/Additional Resources Needed 5 Mechanism of Injury 5 Motor Vehicle Collisions 6 Falls 17 Penetrating Injuries 18 Blast Injuries 21 Chapter 2 Assessment and Initial Management of the Trauma Patient 24 Trauma Assessment 25 Patient Assessment Using the Priority Plan 26 Rapid Trauma Survey 31 Critical Interventions and Transport Decision 32 Focused Exam 34 Ongoing Assessment and Management 34 Procedure 34 Contacting Medical Direction 35 Detailed Exam 35 Procedure 36 Chapter 3 Patient Assessment Skills 40 BTLS Primary Survey 41 Procedure 41 Critical Information-BTLS Primary Survey 41 Ongoing Exam and Detailed Exam 44 Procedure 44 Critical Information-Ongoing Exam 44 Critical Information-Detailed Exam 45 Assessment and Management of the Trauma Patient 47 Procedure 47 Trauma Assessment-Treatment Decision Tree 49 Chapter 4 Initial Airway Management 53 Anatomy 54 The Patent Airway 60 Supplemental Oxygen 64 Normal Ventilation 64 Positive Pressure (Artificial) Ventilation 65 Compliance 66 Ventilation Techniques 66 Chapter 5 Airway Management Skills 71 Basic Airway Management 72 Advanced Airway Management 74 Chapter 6 Thoracic Trauma 85 Introduction 86 Anatomy 86 Pathophysiology 87 Assessment 88 Chapter 7 Thoracic Trauma Skills 102 Chest Decompression 102 Chapter 8 Shock Evaluation and Management 106 Basic Pathophysiology 107 Assessment: Signs and Symptoms of Shock 108 Evaluation of Tachycardia 110 The Shock Syndromes 110 Management of Post-Traumatic Shock States 114 Treatment of Post-Traumatic Hemorrhage 114 Special Situations 117 Treatment of Nonhemorrhagic Shock Syndromes- (Mechanical and High-Space) 117 Current Uses for the Pneumatic Antishock Garment (PASG or MAST) 118 Chapter 9 Fluid Resuscitation Skills 121 Cannulation of the External Jugular Vein 121 Intraosseous Infusion 122 Length-Based Resuscitation Tapes 124 Chapter 10 Head Trauma 126 Anatomy of the Head 128 Pathophysiology of Head Trauma 129 Head Injuries 131 Evaluation of the Head Trauma Patient 134 Management of the Head Trauma Patient 140 Chapter 11 Spinal Trauma 144 The Normal Spinal Column and Cord 145 Mechanisms of Blunt Spinal Injury 148 Neurogenic Shock 150 Patient Assessment 150 Patient Management 151 Airway Intervention 159 Special SMR Situations 159 Chapter 12 Spine Management Skills 167 Essential Components of a Spinal Motion Restriction System 168 Patients Requiring Spinal Motion Restriction 168 SMR Using the Short Backboard 168 Emergency Rescue and Rapid Extrication 171 Procedure-SMR Using the Long Backboard 178 Helmet Management 185 Chapter 13 Abdominal Trauma 189 Anatomy 190 Types of Injuries 191 Evaluation and Stabilization 192 Chapter 14 Extremity Trauma 197 Injuries to Extremities 198 Assessment and Management 201 Management of Specific Injuries 205 Chapter 15 Extremity Trauma Skills 213 Use of Traction Splints 213 Chapter 16 Burns 221 Anatomy and Pathology 222 Initial Field Care 226 Special Problems in Burn Management 229 Secondary Transport 238 Pediatric Burns 238 Chapter 17 Trauma in Children 242 Communicating with the Child and Family 243 Equipment 245 Patient Assessment 245 Injuries 255 Child Restraint Seats 257 Chapter 18 Trauma in the Elderly 262 Pathophysiology of Aging 264 Assessment and Management of the Elderly Trauma Patient 266 Rapid Trauma Survey or Focused Exam 267 Chapter 19 Trauma in Pregnancy 272 Epidemiology 273 Physiological Changes in Pregnancy 273 Responses to Hypovolemia 274 Initial Assessment and Management 277 Types of Trauma 278 Trauma Prevention in Pregnancy 279 Chapter 20 Patients Under the Influence of Alcohol or Drugs 283 Assessment and Management 284 The Uncooperative Patient 286 Chapter 21 The Trauma Cardiopulmonary Arrest 290 Hypoxemia 291 Circulatory Problems 293 Approach to Trauma Patients in Cardiac Arrest 294 Chapter 22 Blood and Body Substance Precautions in the Prehospital Setting 298 Hepatitis B 300 Hepatitis C 301 Acquired Immunodeficiency Syndrome and Human Immunodeficiency Virus Infection 301 Tuberculosis 302 Precautions for Prevention of Hepatitis B, Hepatitis C, and HIV Transmission 304 Appendix A Optional Skills 311 Optional Skill 1: Antishock Garment 311 Optional Skill 2: Digital Intubation 314 Optional Skill 3: Transillumination (Lighted Stylet) 316 Optional Skill 4: Esophageal Gastric Tube Airway 319 Optional Skill 5: Translaryngeal Jet Ventilation 322 Optional Skill 6: Pharyngotracheal Lumen Airway 323 Optional Skill 7: Esophageal Tracheal Combitube 327 Optional Skill 8: Laryngeal Mask Airway 328 Optional Skill 9: Adult Intraosseous Infusion 330 Appendix B Radio Communications 334 Four-Phase Communication Policy 334 Appendix C Documentation: The Written Report 339 The Written Report 339 Improving Documentation Skills 343 Appendix D Trauma Care in the Cold 346 Cold Weather and the Six Stages of an Ambulance Call 346 Appendix E Role of the Air Medical Helicopter 352 The Air Medical Helicopter and the Trauma Patient 353 BTLS and the Air Medical Helicopter 353 Appendix F Trauma Scoring in the Prehospital Care Setting 355 Appendix G Drowning, Barotrauma, and Decompression Injury 358 Drowning 358 Barotrauma 358 Decompression Illness 361 Management of Diving Injuries 362 UR - http://www.loc.gov/catdir/toc/ecip0410/2003024196.html ER -