- Section 1 ICU organization and management
- Section 2 Pharmacotherapeutics
- Section 3 Resuscitation
- Section 4 The respiratory system
- Section 5 The cardiovascular system
- Section 6 The gastrointestinal system
- Section 7 Nutrition
- Section 8 The renal system
- Section 9 The neurological system
- Section 10 The metabolic and endocrine systems
- Section 11 The haematological system
- Section 12 The skin and connective tissue
- Section 13 Infection
- Section 14 Inflammation
- Section 15 Poisoning
- Section 16 Trauma
- Part 16.1 Multiple trauma
- Chapter 332 A systematic approach to the injured patient
- Chapter 333 Pathophysiology and management of thoracic injury
- Chapter 334 Pathophysiology and management of abdominal injury
- Chapter 335 Management of vascular injuries
- Chapter 336 Management of limb and pelvic injuries
- Chapter 337 Assessment and management of fat embolism
- Chapter 338 Assessment and management of combat trauma
- Part 16.2 Ballistic trauma
- Part 16.3 Traumatic brain injury
- Part 16.4 Spinal cord injury
- Part 16.5 Burns
- Section 17 Physical disorders
- Section 18 Pain and sedation
- Section 19 General surgical and obstetric intensive care
- Section 20 Specialized intensive care
- Section 21 Recovery from critical illness
- Section 22 End-of-life care
(p. 1580) Multiple trauma
Trauma remains the most common cause of death for all individuals between the ages of 1 and 44 years, and is the third most common cause of death regardless of age. It is also the leading cause of years of productive life lost. However, death rate underestimates the magnitude of the societal toll. Organized trauma systems have improved mortality by providing timely and expert care to severely-injured patients. Patient management consists of rapid primary survey, which should focus on the identification and simultaneous treatment of immediately life-threatening injuries. A classical ABC (airway, breathing, circulation) approach is recommended and is best carried out by a trained and practiced trauma team. The primary survey is followed by a more detailed examination, the secondary survey, which consists of a head-to-toe examination to identify all specific injuries. The secondary survey should be followed by investigation and definitive care.
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- Section 1 ICU organization and management
- Section 2 Pharmacotherapeutics
- Section 3 Resuscitation
- Section 4 The respiratory system
- Section 5 The cardiovascular system
- Section 6 The gastrointestinal system
- Section 7 Nutrition
- Section 8 The renal system
- Section 9 The neurological system
- Section 10 The metabolic and endocrine systems
- Section 11 The haematological system
- Section 12 The skin and connective tissue
- Section 13 Infection
- Section 14 Inflammation
- Section 15 Poisoning
- Section 16 Trauma
- Part 16.1 Multiple trauma
- Chapter 332 A systematic approach to the injured patient
- Chapter 333 Pathophysiology and management of thoracic injury
- Chapter 334 Pathophysiology and management of abdominal injury
- Chapter 335 Management of vascular injuries
- Chapter 336 Management of limb and pelvic injuries
- Chapter 337 Assessment and management of fat embolism
- Chapter 338 Assessment and management of combat trauma
- Part 16.2 Ballistic trauma
- Part 16.3 Traumatic brain injury
- Part 16.4 Spinal cord injury
- Part 16.5 Burns
- Section 17 Physical disorders
- Section 18 Pain and sedation
- Section 19 General surgical and obstetric intensive care
- Section 20 Specialized intensive care
- Section 21 Recovery from critical illness
- Section 22 End-of-life care