Académique Documents
Professionnel Documents
Culture Documents
Pre-Hospital Notification
Trauma Reception
Tamil Nadu State Trauma Plan
TN Trauma Registry
Sentinel sites/Networks
3
~USD $37,540,000,000
Surgery
Emergency / Critical
Care
Trauma
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Good team communication is linked to expeditious care and patient outcome.
In the first 30 minutes of reception and resuscitation a critical decision linked
to a life-saving intervention is made every 72 seconds.
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10
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27 June 2017
Team introduction
Mechanism, Injuries,
Signs, Treatment (MIST)
Primary Survey
Summary
Diagnoses
Treatments
Trauma Team Time Out
Debrief Whew!
For thousands of years the art of trauma care
had rarely gleamed, with treasures accumulated
through hard learned experiences often lost to
subsequent medical generations.
Hua Tuo
CE 145-220
Roman Surgical Instruments
The current digital era has revolutionized the care of the
injured (just as the introduction of the printing press and
the adoption of oil based pigments catalysed the Early
Renaissance) with knowledge and ideas rendered
immediately accessible in new perspectives.
Carpaccio 1514
The Disputation of St Stephen
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The implementation of standardised, evidence based,
protocolized systems and computer assisted decision
support have revolutionized the art of trauma management.
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Trauma management
Risk reduction and error avoidance
James K Styner
Nebraska 1976
Trauma management
Risk reduction and error avoidance
*Source: abc.net.au.
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27 June 2017 27
risk
time
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Omission v Commission
1 Ali J, Cohen R, Adam R et al. Attrition of cognitive and trauma management skills
after the advanced trauma life support (ATLS) course. J Trauma 1996;40:860-6.
2 Blumfield A, Ben Abraham R, Stein M et al. Cognitive decline after Advanced
Trauma Life Support courses. J Trauma 1998;44; 513-`16.
3 Spanjersberg WR, Bergs EA, Mushkudiani N et al. Protocol compliance and time
management in blunt trauma resuscitation. Emerg Med 2009; 26;23-27.
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Since 2008 the system has been installed in the four trauma bays and is used for
all major trauma patients who attend the Trauma Centre
Pre-Hospital Notification
Trauma Reception
Tamil Nadu State Trauma Plan
TN Trauma Registry
Sentinel sites/Networks
42
m.fitzgerald@alfred.org.au