Description
Pearson International Trauma Life Support For Emergency Care Providers by Roy L Alson and John E Campbell
For basic trauma life support coursesFor more than 30 years, International Trauma Life Support has been at the forefront of trauma education at all levels of emergency care worldwide. This complete reference is filled with practical, hands-on training that guides readers through the hows and whys behind all of the skills necessary for rapid assessment, resuscitation, stabilization, and transportation of the trauma patient. Updated with the latest approaches to the care of the trauma patient, this Eighth Edition conforms to the most recent AHA/ILCOR guidelines for artificial ventilation and CPR. This new edition continues ITLS's tradition of excellence to ensure learners get the most out of the few minutes they have to save their patients' lives.
Salient Features
This proven training book has been at the forefront of trauma education at all levels of pre-hospital emergency care worldwide for more than 30 years.
UPDATED: BRADY provides book-specific online resources for both learners and instructors including review questions, games, animations, case studies, additional trauma photos and much more! BRADY resources offers instructors a full complement of online supplemental teaching materials such as test banks and PowerPoint lectures to aid in the classroom. www.bradybooks.com Updates to student online resources include:
NEW: In "Additional Skills," the use of the new FastResponderTM sternal IO has been added.
UPDATED: In "Multicasualty Incidents and Triage," the discussion of various triage schemes has been expanded and now includes SALT Triage.
UPDATED: In "Role of the Medical Helicopter," the data has been updated.
NEW: In "Trauma Scoring in the Prehospital Care Setting," the CDC Trauma Triage Scheme is included.
UPDATED: The "Tactical EMS" bibliography reflects current thinking within the Hartford Consensus.
UPDATED: Coverage of the latest and most effective approaches to the care of the trauma patient prepares readers to become effective emergency care providers.
NEW: Dr. Roy Alson has joined Dr. John Campbell as co-editor in chief for this edition. Dr. Alson is a board certified EM and EMS physician with extensive experience in EMS care and education and has been a contributor to the ITLS text and course for over 25 years.
UPDATED: Conforms to the latest AHA/ILCOR guidelines for artificial ventilation and CPR.
Hands-on exercises throughout the text help readers practice their knowledge and skills on simulated patients. By the end of the course, learners should feel confident in their ability to provide rapid lifesaving trauma care.
Management skills chapters follow the topic chapters to help reinforce learning.
UPDATED: Key terms, photos, drawings, and case presentations accompany each chapter to promote retention of key concepts. Many of the case presentations draw upon a single scenario so they reflect a realistic situation.
Each chapter opens with a Chapter Overview and Objectives to focus students' study time.
Pearls feature quick references and reminders in the side margins, providing learners with reinforcement of difficult chapter concepts.
Chapter Summaries wrap up each chapter, reviewing important concepts and revisiting the overview that opens up the chapter, forming a bridge between areas of focus and objectives.
Chapter-by-chapter changes include:
The Introduction explains the concept and importance of the "Golden Period".
In Chapter 1, the emphasis on scene safety continues to be a central component, as is the concept that trauma care is a team effort involving many disciplines. There is a discussion of the changes in response put forth by the Hartford Consensus.
In Chapter 2, minor changes have been made in the assessment sequence based on feedback from ITLS instructors and providers. The importance of identifying and controlling at the start of the assessment is reinforced. As the leader performs the assessment, he or she will delegate responses to abnormalities found in the initial assessment. This is to reinforce the rule that the leader must not interrupt the assessment to deal with problems but must delegate the needed actions to team members. That emphasizes the team concept and keeps on scene time at a minimum. The order of presentation of the three assessments (ITLS Primary Survey, ITLS Ongoing Exam, and ITLS Secondary Survey) has been changed. The ITLS Ongoing Exam is performed before the ITLS Secondary Survey, a more common situation, and may replace it. The use of finger-stick serum lactate levels and prehospital abdominal ultrasound exams are mentioned as areas of current study to better identify patients who may be in early shock.
Chapter 3 reflects the changes in Chapter 2.
In Chapter 4, capnography is stressed as the standard for confirming and monitoring the position of the endotracheal tube as well as the best way to assess for hyperventilation or hypoventilation. The delivered volume of air with each ventilation now emphasizes the response of the patient (rise and fall of the chest) rather than a fixed volume amount.
In Chapter 5, fiberoptic and video intubation are discussed as evolving technologies. Drug-assisted intubation is now included in this chapter, rather than in the appendix, because it is more commonly used. The key role of blind insertion airway devices (BIAD) in basic airway management is reinforced.
In Chapter 6, a discussion of the indications for decompressing pericardial tamponade has been added, when such a procedure is in the emergency care provider's scope of practice. Also discussed is the use of ultrasound to identify such injuries and also to identify a pneumothorax.
In Chapter 7, there is a revised discussion of needle decompression of the chest for a tension pneumothorax reflecting challenges faced by tactical EMS providers.
In Chapter 8, the discussion of hemorrhagic shock has again been updated to reflect the latest experience of the military during the recent conflicts. A discussion of the role of tranexamic acid (TXA) in the management of hemorrhage has been added.
Chapters 11 and 12 now reflect current science and published guidelines. There has been a complete revision of when to apply spinal motion restriction. In addition, the transport of a patient on a backboard is now discouraged. Included also is how to remove the patient from the backboard once placed on a transport stretcher. The standing backboard procedure has been eliminated.
In Chapter 13, the use of finger-stick serum lactate levels and the use of prehospital abdominal ultrasound exams are mentioned.
In Chapter 14, the discussion of management of bleeding from extremity injuries has been expanded, including discussion of hemostatic agents.
In Chapter 15, procedures for use of a tourniquet and use of hemostatic agents have been expanded as well as discussion of pelvic binders for pelvic fractures.
In Chapter 16, the use of Ringer's Lactate as a resuscitation fluid in major burns is emphasized.
Chapter 21 discusses the indications for termination of resuscitation for the trauma patient in the prehospital setting.
Chapter 22 includes the latest recommendations for postexposure prophylaxis and an expanded section on emerging infections that pose challenges to emergency care providers.