EM Fundamentals

TRAUMA

Goals and Objectives Goals Resident will be comfortable with initial evaluation and basic management of trauma patients Learning Objectives Resident will list and describe each step of the trauma primary survey Airway and c-spine protection Breathing and ventilation Circulation and hemorrhage control Disability Exposure Resident will list and describe potential procedures/interventions performed during the primary survey and their indications, including: Intubation Cricothyrotomy Chest tube insertion Thoracotomy Massive transfusion protocol Central venous access FAST exam Resident will be able to define and describe "damage control resuscitation" Resident will be able to describe the steps of the secondary survey Resident will be able to list "hard signs" for emergent operative management of each of the following: Head trauma Neck trauma, penetrating Thoracic trauma, blunt Thoracic trauma, penetrating Abdominal trauma, blunt Abdominal trauma, penetrating Pelvic trauma Extremity trauma

Recommended Resources Prior to Conference Trauma: Initial Assessment (LITFL) Additional Resources Overview Approach to Trauma (CDEM) Lethal Triad and BP Goals (EMCrit) Hemorrhagic Shock Resuscitation (EMCrit) Traumatic Arrest (EMCrit) EAST on Resuscitation Endpoints (J Trauma 2004) EAST on Prehospital Fluid Resuscitation (J Trauma 2009) Massive Transfusion Massive Transfusion (UChicago MEROps) Massive Transfusion (EMCrit) Massive Transfusion 2 (EMCrit) Head Trauma EAST on Blunt Cerebrovascular Injury (J Trauma 2010) Increased ICP Treatment (EMCrit) Intracranial Hemorrhage (CDEM) Cervical Spine Trauma EAST on Cervical Spine Injuries Following Trauma (J Trauma 2009) Cervical Spine Inury (EBMedicine) Diagnosing C-spine Injuries (EMCrit) Penetrating Neck Trauma Western Trauma Association on Penetrating Neck Trauma (J Trauma Acute Care Surg 2013) EAST on Penetrating Zone II Neck Trauma (J Trauma 2008) Penetrating Neck Trauma (Practical Evidence) Blunt Thoracic Trauma EAST on Blunt Cardiac Injury (J Trauma 2012) Penetrating Thoracic Trauma Coming Soon Blunt Abdominal Trauma Blunt Abdominal Trauma (ACEP Clinical Policy, 2011) EAST on Blunt Abdominal Trauma (J Trauma 2002) Penetrating Abdominal Trauma Penetrating Abdominal Trauma (LITFL) EAST on Selective Non-Operative Management of Penetrating Abdominal Trauma (J Trauma 2010) Pelvic and Genitourinary Trauma Severe Pelvic Trauma (EMCrit) EAST on Pelvic Fracture Hemorrhage (J Trauma 2011) EAST on GU Trauma Diagnosis EAST on GU Trauma Management Facial Trauma Exsanguinating Mid-Face Hemorrhage (EMCrit) Extremity Trauma EAST on Penetrating Lower Extremity Arterial Injury (J Trauma ) Procedures Endotracheal Intubation See: Airway Management Cricothyrotomy Surgical Cricothyrotomy (LITFL) Needle Decompression of Chest Coming Soon Chest Tube Insertion Own the Chest Tube (LITFL) Thoracotomy ED Thoracotomy (EMCrit) To Thoracotomy or Not to Thoracotomy (LITFL) FAST Exam FAST Exam (One Minute US) Don't Half-Ass Your FAST (EMCrit) FAST Suprapubic View (SonoSpot) Central Venous Access Central Venous Access (EM Fundamentals) Subclavian Venous Access (UMEM) Subclavian Venous Access (NEJM) Femoral Venous Access (NEJM)

Original Post by Eric Shappell on 12/06/2014
Last Updated by Eric Shappell on 09/15/2015 Contact / Feedback

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