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Part I: Prehospital Care, Diagnostic Tools and Resuscitation Strategies; 1: Prehospital Care ofssPenetrating Trauma; 1.1 Planning assSystematic Approach; 1.1.1 Scene Safety & Adequate Resources; 1.1.2 Dispatching Appropriate Resources; 1.1.3 ALS Versus BLS Care; 1.1.4 Selecting thessAppropriate Transport Destination; 1.2 Treatment: Airway; 1.2.1 Endotracheal Intubation; 1.3 Treatment: Breathing; 1.3.1 Oxygenation; 1.3.2 Ventilation; 1.3.3 Pneumothorax Management; 1.4 Treatment: Circulation; 1.4.1 IV Volume Resuscitation; 1.4.2 Hypotensive Resuscitation.
1.4.3 IV Access Options1.4.4 Alternative IV Solutions; 1.5 Treatment: Hemorrhage Control; 1.5.1 Hemostatic Agents; 1.5.2 Tourniquets; 1.6 Summary; Recommended Reading; 2: Airway Management inssPenetrating Trauma; 2.1 Airway Assessment; 2.2 Deciding Who Needs assDefinitive Airway; 2.3 Approaches tossEstablishing assDefinitive Airway; 2.4 Rapid Sequence Intubation; 2.4.1 Preparing forssIntubation; 2.5 Orotracheal Intubation Technique; 2.5.1 Intubation Technique; 2.6 Surgical Airways; Recommended Reading; 3: Damage Control Resuscitation inssPenetrating Trauma: Rules ofssthessGame.
3.1 Crystalloids andssthessLethal Triad3.2 Hypotensive Resuscitation; 3.3 Blood Product Transfusion; 3.4 Medication Adjuncts; 3.5 Operative Control ofssBleeding Has Been Established, Now What?; 3.6 Areas ofssOngoing Investigation; 3.7 Summary; Recommended Reading; 4: BLS Versus ALS; 4.1 BLS Versus ALS; 4.2 The "EMS Paradox"; 4.3 Triage; 4.4 The Process ofssAmbulance Response; 4.5 Three Options; 4.6 Discussion ofssthessData; Conclusion; Recommended Reading; 5: Prehospital Care andssTransport; Recommended Reading; 6: Prehospital Monitoring During Transport; 6.1 Urban Environment.
6.1.1 Goal ofssEMS Participation6.1.2 Mode ofssTransportation; 6.1.3 Initial Assessment ofssthessPatient byssEMS; 6.1.4 Wound Assessment; 6.1.5 Hemodynamic Assessment; 6.1.6 Monitoring andssResuscitation En Route; 6.1.7 Where tossTransport Patients; 6.2 Rural Environment; 6.2.1 How andssWhere tossTransport; 6.2.2 Additional Resuscitative Measures tossConsider; Recommended Reading; 7: Trauma Resuscitation; 7.1 Fluid Type; 7.2 Determining Need forssMassive Transfusion; 7.3 Adjuncts tossMassive Transfusion; 7.4 Permissive Hypotension; Recommended Reading; 8: ABC Heuristics; 8.1 Airway.
8.1.1 Evaluation8.1.2 Treatment; 8.2 Breathing; 8.2.1 Evaluation; 8.2.2 Treatment; 8.3 Circulation; 8.3.1 Evaluation; 8.4 Cell Whisper; Recommended Reading; 9: Pediatric Trauma Resuscitation; 9.1 Introduction; 9.2 Epidemiology; 9.3 History; 9.4 Initial Assessment, Resuscitation, andssStabilization; 9.4.1 Primary Survey (A, B, andssC); 9.4.2 Normal Pediatric Vital Signs; 9.4.3 A = Airway (C-Spine Immobilization); 9.4.4 B = Breathing; 9.4.5 C = Circulation (Hemorrhage Control); 9.4.6 D = Disability (Neurologic Assessment); 9.4.7 E = Exposure forssSecondary Survey.
1.4.3 IV Access Options1.4.4 Alternative IV Solutions; 1.5 Treatment: Hemorrhage Control; 1.5.1 Hemostatic Agents; 1.5.2 Tourniquets; 1.6 Summary; Recommended Reading; 2: Airway Management inssPenetrating Trauma; 2.1 Airway Assessment; 2.2 Deciding Who Needs assDefinitive Airway; 2.3 Approaches tossEstablishing assDefinitive Airway; 2.4 Rapid Sequence Intubation; 2.4.1 Preparing forssIntubation; 2.5 Orotracheal Intubation Technique; 2.5.1 Intubation Technique; 2.6 Surgical Airways; Recommended Reading; 3: Damage Control Resuscitation inssPenetrating Trauma: Rules ofssthessGame.
3.1 Crystalloids andssthessLethal Triad3.2 Hypotensive Resuscitation; 3.3 Blood Product Transfusion; 3.4 Medication Adjuncts; 3.5 Operative Control ofssBleeding Has Been Established, Now What?; 3.6 Areas ofssOngoing Investigation; 3.7 Summary; Recommended Reading; 4: BLS Versus ALS; 4.1 BLS Versus ALS; 4.2 The "EMS Paradox"; 4.3 Triage; 4.4 The Process ofssAmbulance Response; 4.5 Three Options; 4.6 Discussion ofssthessData; Conclusion; Recommended Reading; 5: Prehospital Care andssTransport; Recommended Reading; 6: Prehospital Monitoring During Transport; 6.1 Urban Environment.
6.1.1 Goal ofssEMS Participation6.1.2 Mode ofssTransportation; 6.1.3 Initial Assessment ofssthessPatient byssEMS; 6.1.4 Wound Assessment; 6.1.5 Hemodynamic Assessment; 6.1.6 Monitoring andssResuscitation En Route; 6.1.7 Where tossTransport Patients; 6.2 Rural Environment; 6.2.1 How andssWhere tossTransport; 6.2.2 Additional Resuscitative Measures tossConsider; Recommended Reading; 7: Trauma Resuscitation; 7.1 Fluid Type; 7.2 Determining Need forssMassive Transfusion; 7.3 Adjuncts tossMassive Transfusion; 7.4 Permissive Hypotension; Recommended Reading; 8: ABC Heuristics; 8.1 Airway.
8.1.1 Evaluation8.1.2 Treatment; 8.2 Breathing; 8.2.1 Evaluation; 8.2.2 Treatment; 8.3 Circulation; 8.3.1 Evaluation; 8.4 Cell Whisper; Recommended Reading; 9: Pediatric Trauma Resuscitation; 9.1 Introduction; 9.2 Epidemiology; 9.3 History; 9.4 Initial Assessment, Resuscitation, andssStabilization; 9.4.1 Primary Survey (A, B, andssC); 9.4.2 Normal Pediatric Vital Signs; 9.4.3 A = Airway (C-Spine Immobilization); 9.4.4 B = Breathing; 9.4.5 C = Circulation (Hemorrhage Control); 9.4.6 D = Disability (Neurologic Assessment); 9.4.7 E = Exposure forssSecondary Survey.