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• W1989066739 endingPage "238" @default.
• W1989066739 startingPage "197" @default.
• W1989066739 abstract "The immediate care required by most severely injured patients is best managed with a multidisciplinary approach. Thus the medical team, usually consisting of a trauma surgeon, an emergency physician, and an anesthesiologist, works together, with the trauma surgeon directing the care. In centers where the anesthesia department puts a strong emphasis on trauma care, the anesthesiologist(s) and the trauma surgeon(s) are called to the emergency room (ER) simultaneously. Even in institutions where this policy does not exist, the anesthesia staff is often likely to be called to the ER before the surgeon completes the initial management. Obviously, physicians with different backgrounds must be provided with the basic clinical concepts, knowledge, and skills that stem from a common source for initial management to proceed in a coordinated manner with clear, rapid, and accurate communication. The Advanced Trauma Life Support (ATLS) Course, developed by the Committee on Trauma of the American College of Surgeons (ACS), provides a standard source of information about early trauma care and greatly helps in the achievement of this objective. Unfortunately only a small fraction of physicians (about 2%–3%) who have been attending this course since its introduction 15 years ago are anesthesiologists. This discussion will combine the relevant aspects of ATLS guidelines with principles of preanesthetic evaluation to provide a summary of the initial management of the trauma patient for the anesthesiologist. In principle, assessment and resuscitation proceed together during the early stage of trauma care. In most instances, however, oxygenation and circulation are stable, allowing for enough time to obtain a reasonable medical history and establish a diagnosis. Effective management by the trauma team requires evaluation of the nature of the injury, recognition of injury-related and/or preexisting physiologic derangements, prediction of short- and long-term complications, and timely optimization of organ perfusion and oxygenation. Achieving these goals requires a well-designed clinical strategy." @default.
• W1989066739 created "2016-06-24" @default.
• W1989066739 creator A5029053529 @default.
• W1989066739 creator A5030665087 @default.
• W1989066739 date "1996-03-01" @default.
• W1989066739 modified "2023-09-25" @default.
• W1989066739 title "INITIAL EVALUATION AND RESUSCITATION" @default.
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