Trauma Care Pre-Hospital Manual PDF Free Download
In 2001, few if any of those most involved in the care of victims of trauma could have anticipated the changes and developments that have occurred in the years that followed. The UK now has functioning (and on the evidence to date) effective trauma systems and networks, and clinical developments include the introduction of damage control resuscitation, tranexamic acid, blood product resuscitation, hybrid resuscitation and an emphasis on the control of major external haemorrhage as part of a new ABCDE approach. As a consequence, more patients with major trauma are surviving than ever before. Much of this change has been led by experience from recent conflicts in Iraq and Afghanistan. If this experience has taught one thing more emphatically than any other, it is that optimal pre-hospital care is essential if survival rates are to be improved and morbidity reduced. We are more aware than ever that trauma victims do not, in a sense, die from the trauma, but from the effects of trauma. These include hypoxia, acidosis, embolism, haemorrhage, abnormal clotting, hypothermia, metabolic and immunological derangement. The sooner these harmful processes are arrested (or better still prevented), the better outcomes will be. It is the recognition of this concept as the key to trauma management that underpins these guidelines.