Citation

Fedor PJ, Burns B, Lauria M, Richmond C. Emerg. Med. Clin. North Am. 2018; 36(1): 203-218.

Affiliation

Greater Sydney Area HEMS, NSW Ambulance, NSW 2200, Australia; Royal Prince Alfred Hospital, Sydney, Australia.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.emc.2017.08.010

PMID

29132578

Abstract

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.

Copyright © 2017 Elsevier Inc. All rights reserved.

Language: en

Keywords

Prehospital trauma; Resource-limited environment; Retrieval medicine; Rural hospital; Trauma resuscitation; Ultrasound