Major Trauma Outside a Trauma Center: Prehospital, Emergency

Emerg. Med. Clin. North Am. · Feb 2018

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Major Trauma Outside a Trauma Center: Prehospital, Emergency Department, and Retrieval Considerations.

Care of the critically injured begins well before the patient arrives at a large academic trauma center. It is important to understand the continuum of care from the point of injury in the prehospital environment, through the local hospital and retrieval, until arrival at a trauma center capable of definitive care. This article highlights the important aspects of trauma assessment and management outside of tertiary or quaternary care hospitals. Key elements of each phase of care are reviewed, including management pearls and institutional strategies to facilitate effective and efficient treatment of trauma patients from the point of injury forward.

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- Preston J Fedor, Brian Burns, Michael Lauria, and Clare Richmond.
- Department of Emergency Medicine, Division of Prehospital, Austere and Disaster Medicine, University of New Mexico, 1 University of New Mexico, MSC11 6025, Albuquerque, NM 87131-0001, USA. Electronic address: pfedor@salud.unm.edu.
- Emerg. Med. Clin. North Am. 2018 Feb 1; 36 (1): 203-218.
AbstractCare of the critically injured begins well before the patient arrives at a large academic trauma center. It is important to understand the continuum of care from the point of injury in the prehospital environment, through the local hospital and retrieval, until arrival at a trauma center capable of definitive care. This article highlights the important aspects of trauma assessment and management outside of tertiary or quaternary care hospitals. Key elements of each phase of care are reviewed, including management pearls and institutional strategies to facilitate effective and efficient treatment of trauma patients from the point of injury forward.Copyright © 2017 Elsevier Inc. All rights reserved.

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Major Trauma Outside a Trauma Center: Prehospital, Emergency Department, and Retrieval Considerations.

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