Book contents
- Fundamentals of Anaesthesia
- Fundamentals of Anaesthesia
- Copyright page
- Dedication
- Contents
- Contributors
- Preface to the first edition
- Preface to the second edition
- Preface to the third edition
- Preface to the fourth edition
- Acknowledgements
- Abbreviations
- Section 1 Clinical anaesthesia
- Chapter 1 Preoperative management
- Chapter 2 Conduct of anaesthesia
- Chapter 3 Intraoperative management
- Chapter 4 Postoperative management
- Chapter 5 Special patient circumstances
- Chapter 6 The surgical insult
- Chapter 7 Regional anaesthesia
- Chapter 8 Principles of resuscitation
- Chapter 9 Major trauma
- Section 2 Physiology
- Section 3 Pharmacology
- Section 4 Physics and clinical measurement
- Index
- References
Chapter 9 - Major trauma
from Section 1 - Clinical anaesthesia
Published online by Cambridge University Press: 19 January 2017
- Fundamentals of Anaesthesia
- Fundamentals of Anaesthesia
- Copyright page
- Dedication
- Contents
- Contributors
- Preface to the first edition
- Preface to the second edition
- Preface to the third edition
- Preface to the fourth edition
- Acknowledgements
- Abbreviations
- Section 1 Clinical anaesthesia
- Chapter 1 Preoperative management
- Chapter 2 Conduct of anaesthesia
- Chapter 3 Intraoperative management
- Chapter 4 Postoperative management
- Chapter 5 Special patient circumstances
- Chapter 6 The surgical insult
- Chapter 7 Regional anaesthesia
- Chapter 8 Principles of resuscitation
- Chapter 9 Major trauma
- Section 2 Physiology
- Section 3 Pharmacology
- Section 4 Physics and clinical measurement
- Index
- References
Summary
National Audit Office data indicate that major trauma kills 5400 people in England annually, and it is the commonest cause of death in those under 40 years. The advanced trauma life support (ATLS) course (American College of Surgeons 2008) provides a basic framework onto which hospital specialists can build their individual skills. The ATLS course focuses on the initial management of patients with major injuries during the so-called ‘golden hour’. The golden hour reflects the importance of timely treatment. A severely injured patient who is hypoxic, in haemorrhagic shock, or who has an expanding intracranial haematoma, for example, will need rapid, effective resuscitation. The aim is to restore cellular oxygenation before the onset of irreversible shock.
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- Fundamentals of Anaesthesia , pp. 195Publisher: Cambridge University PressPrint publication year: 2016