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Trauma 

Chapter:
Trauma
Author(s):

Heather Baid

, Fiona Creed

, and Jessica Hargreaves

DOI:
10.1093/med/9780198701071.003.0018
Page of

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date: 21 September 2019

Patients with traumatic injury may present to the critical care unit with a wide range of actual and potential clinical problems. This chapter reviews a trauma-specific approach for the critical care nursing assessment and management of trauma, including primary, secondary, and tertiary surveys. The resuscitation of the patient with traumatic haemorrhage is also described. The airway, breathing, circulation (ABC) approach and critical care management are discussed for a range of specific trauma conditions, including traumatic brain injury, spinal cord injury, chest injury, abdominal injury, pelvic fractures, genito-urinary injury, musculoskeletal injury, blast injury, major burns, maxillofacial injury, drowning, and hypothermia. Complications that may occur following trauma, including hypovolaemic shock, compartment syndrome, fat embolism, air embolism, and post-traumatic stress disorder (PTSD) are also discussed.

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