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Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 9780102963472
Category : Medical
Languages : en
Pages : 44
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Book Description
Care for patients who have suffered major trauma, for example following a road accident or a fall, has not significantly improved in the last 20 years despite numerous reports identifying poor practice, and services are not being delivered efficiently or effectively. Survival rates vary significantly, with a range from five unexpected survivors to eight unexpected deaths per 100 trauma patients, reflecting the variable quality of care. 450 to 600 lives could be saved each year in England if major trauma care was managed more effectively. For best outcomes care should be led by consultants experienced in major trauma; but major trauma is most likely to occur at night and at weekends, when consultants are not normally in the emergency department. Major trauma care is not coordinated and there are no formal arrangements for taking patients directly for specialist treatment or transferring them between hospitals. A significant number of patients that need a scan CT do not receive one. Not enough patients who need a critical care bed are given one. Access to rehabilitation services varies and patients are not always receiving the care that they need. The estimated annual lost economic output from deaths and serious injuries from major trauma is between £3.3 billion and £3.7 billion. Only 60 per cent of hospitals delivering major trauma care contribute to the Trauma Audit and Research Network (TARN). The performance of the 40 per cent of hospitals that do not submit data to TARN cannot be measured.
Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 9780102963472
Category : Medical
Languages : en
Pages : 44
Get Book Here
Book Description
Care for patients who have suffered major trauma, for example following a road accident or a fall, has not significantly improved in the last 20 years despite numerous reports identifying poor practice, and services are not being delivered efficiently or effectively. Survival rates vary significantly, with a range from five unexpected survivors to eight unexpected deaths per 100 trauma patients, reflecting the variable quality of care. 450 to 600 lives could be saved each year in England if major trauma care was managed more effectively. For best outcomes care should be led by consultants experienced in major trauma; but major trauma is most likely to occur at night and at weekends, when consultants are not normally in the emergency department. Major trauma care is not coordinated and there are no formal arrangements for taking patients directly for specialist treatment or transferring them between hospitals. A significant number of patients that need a scan CT do not receive one. Not enough patients who need a critical care bed are given one. Access to rehabilitation services varies and patients are not always receiving the care that they need. The estimated annual lost economic output from deaths and serious injuries from major trauma is between £3.3 billion and £3.7 billion. Only 60 per cent of hospitals delivering major trauma care contribute to the Trauma Audit and Research Network (TARN). The performance of the 40 per cent of hospitals that do not submit data to TARN cannot be measured.
Author: Ian Greaves
Publisher: CRC Press
ISBN: 1351816756
Category : Medical
Languages : en
Pages : 412
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Book Description
This new book provides evidence based guidelines for the immediate clinical management of major trauma.It has been written by clinicians with many years of trauma experience, and endorsed as authoritative by Trauma Care (UK). The UK now has highly effective trauma systems. Clinical developments include the introduction of damage control resuscitation, tranexamic acid, blood product resuscitation, novel hybrid resuscitation and an emphasis on the control of major external haemorrhage as part of a new ABCDE approach. Consequently, more individuals with major trauma are surviving than ever before. Optimal pre-hospital care is essential for improved survival rates and reduced morbidity.
Author: Jason Smith
Publisher: Oxford University Press
ISBN: 0192609289
Category : Medical
Languages : en
Pages :
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Book Description
The Oxford Desk Reference: Major Trauma is the missing link between basic trauma management and advanced specialist care. Advanced Trauma Life Support courses have revolutionised trauma care in the last 3 decades, but there is little advice for the key decision makers in trauma care once the primary and secondary surveys are complete. This volume is a practical and evidence-based desk reference, giving a comprehensive walk-through from the initial phases of injury, through key decision-making in the resuscitation room, to surgical principles and rehabilitation. Including chapters on damage control, ballistic and blast injuries, and bariatric trauma, this text covers all the main areas of trauma care necessary for the trauma specialist in the 21st Century. The Oxford Desk Reference emphasises practical help but also covers the evidence and science behind trauma management. It includes the most up-to-date guidance from national bodies making recommendations for trauma care, using an international team of contributing authors. This book will become an essential tool for everyday use in the management of trauma.
Author: Ian Greaves
Publisher: CRC Press
ISBN: 1444166786
Category : Medical
Languages : en
Pages : 353
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Book Description
The Trauma Care Manual was first published in 2000, and was the first evidence-based manual of best trauma practice. Now in its second edition, it continues to offer clear and practical guidelines for the management of victims of major trauma, reflecting current practice in the United Kingdom and Europe.The second edition benefits from an increase
Author: Jonathan P. Wyatt
Publisher: OUP Oxford
ISBN: 0191016055
Category : Medical
Languages : en
Pages : 770
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Book Description
Fully revised and updated, the Oxford Handbook of Emergency Medicine is the definitive, best-selling guide for all of the common conditions that present to the emergency department. Whether you work in emergency medicine, or just want to be prepared, this book will be your essential guide. Following the latest clinical guidelines and evidence, written and reviewed by experts, this handbook will ensure you are up to date and have the confidence to deal with all emergency presentations, practices, and procedures. In line with the latest developments in the field, such as infection control, DNR orders, advanced directives and learning disability, the book also includes new sections specifically outlining patient advice and information, as well as new and revised vital information on paediatrics and psychiatry. For all junior doctors, specialist nurses, paramedics, clinical students, GPs and other allied health professionals, this rapid-reference handbook will become a vital companion for both study and practice.
Author: Peter A. Driscoll
Publisher: John Wiley & Sons
ISBN: 1119498864
Category : Medical
Languages : en
Pages : 503
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Book Description
An authoritative overview of the management and treatment of major trauma patients In the newly revised, and substantially expanded, Fifth Edition of ABC of Major Trauma, an eminent team of leading trauma specialists delivers a comprehensive, up-to-date, referenced overview of the emergency treatment of patients suffering from major trauma. Covering all aspects of the management of injured patients during the initial, crucial hours after injury, the scope of the book has developed to include imaging appendices for many chapters. The editors have included resources that discuss general considerations for typical trauma cases, as well as the numerous atypical patients including children, the elderly and those who are pregnant. Hyperlinks are now also included throughout the book which enable the reader to refer to continuously updated guidelines. The book also offers: A thorough introduction to the development and organisation of trauma services, including pre-hospital care and major incidents. A guide to the modern trauma team personnel from airway doctor, to trauma nurse, to trauma team leader, while describing the technical and non-technical skills required for the ABCDE of trauma resuscitation, imaging and the subsequent transfer of the patient. Specialist chapters on ballistic trauma, chemical contamination and burns as well as the management of trauma in specialist patient groups including paediatrics, pregnancy, and the elderly. A new and vital chapter on rehabilitation as well an expansion of the measurement of trauma outcomes to include disability and a discussion on how such audits can drive further improvement. Perfect for all those involved in the care of the trauma patient, including nurses, physician associates, hospital doctors, paramedics and pre-hospital teams, the ABC of Major Trauma is a one-stop referenced guide to the care of such patients from the site of injury to maximal recovery. About the ABC series The ABC series has been designed to help you access information quickly and deliver the best patient care, and remains an essential reference tool for GPs, junior doctors, medical students and healthcare professionals. Now offering over 80 titles, this extensive series provides you with a quick and dependable reference on a range of topics in all the major specialties. The ABC series is the essential and dependable source of up-to-date information for all practitioners and students in primary healthcare. To receive automatic updates on books and journals in your specialty, join our email list. Sign up today at www.wiley.com/email
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309442850
Category : Medical
Languages : en
Pages : 531
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Book Description
Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 330
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Book Description
This guideline provides guidance on the assessment and management of major trauma, including resuscitation following major blood loss associated with trauma. For the purposes of this guideline, major trauma is defined as an injury or a combination of injuries that are life-threatening and could be life changing because it may result in long-term disability. This guideline covers both the pre-hospital and immediate hospital care of major trauma patients but does not include any management after definitive lifesaving intervention. It has been developed for health practitioners and professionals, patients and carers and commissioners of health services. The key clinical areas are: 1. Airway management2. Pre-hospital management of chest trauma3. Hospital management of chest trauma4. Management of haemorrhage5. Management of shock6. Heat loss7. Pain management8. Documentation and transfer of information9. Information and support10. Skills to be present in the multidisciplinary team.
Author: Committee on Injury Prevention and Control
Publisher: National Academies Press
ISBN: 0309593468
Category : Medical
Languages : en
Pages : 336
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Book Description
Injuries are the leading cause of death and disability among people under age 35 in the United States. Despite great strides in injury prevention over the decades, injuries result in 150,000 deaths, 2.6 million hospitalizations, and 36 million visits to the emergency room each year. Reducing the Burden of Injury describes the cost and magnitude of the injury problem in America and looks critically at the current response by the public and private sectors, including: Data and surveillance needs. Research priorities. Trauma care systems development. Infrastructure support, including training for injury professionals. Firearm safety. Coordination among federal agencies. The authors define the field of injury and establish boundaries for the field regarding intentional injuries. This book highlights the crosscutting nature of the injury field, identifies opportunities to leverage resources and expertise of the numerous parties involved, and discusses issues regarding leadership at the federal level.
Author: Daniele Bryden
Publisher: Cambridge University Press
ISBN: 1107423376
Category : Medical
Languages : en
Pages : 383
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Book Description
This case-based approach to the intensive care medicine curriculum provides 48 case studies linking core knowledge to clinical context. Topics chosen have been mapped to eight key areas of study, making this ideal for both FFICM and EDIC exam candidates.
