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Trauma and stabilization 

Trauma and stabilization
Chapter:
Trauma and stabilization
Author(s):

Jeremy Prout

, Tanya Jones

, and Daniel Martin

DOI:
10.1093/med/9780199609956.003.0021
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date: 12 April 2021

This chapter, written by trauma anaesthetists from King’s College Hospital, London, covers the general aspects of trauma management as well as targeted management for specific situations. The pathophysiology of trauma injury with primary and secondary insult is described along with classification and management of shock. Patient triage and trauma scoring is explained with initial resuscitation and management of emergency anaesthesia. The chapter includes a detailed description of management of haemorrhage and coagulopathy in trauma with use of adjuncts to haemostasis, evidence from the CRASH study and point-of-care testing. Special considerations in burns, electrocution, drowning, hypothermia, and paediatric trauma are detailed.

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