Atls 9 Edicion. Ppt
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Transcript of Atls 9 Edicion. Ppt
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Advanced Trauma Life Support
(ATLS ®
): The ninth editionJournal of Trauma and Acute Care Surgery
2013; 72(5): 1363–1366
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C*T#*T C+A*,#S
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Team Training
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Preparation of the team, along with
team dynami! and de"riefing, ar
e important part! of team-.aedcare that are highlighted in the #ni
tial $!!e!!ment hapter%
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Air/ay
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&he '!e of additional adaned air
way tehni'e! i! highlighted, along with the '!e of videolaryngo
copy%
*or pediatric patient, the '!e of c
uffed endotracheal tu.e for all
hildren (with the e+eption of infant! 1 year of age) i! !'gge!ted%
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0alanced
1eucitation
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&he onept of .alanced reucitation i! f
'rther empha!i-ed, and the term aggre!!i
e re!'!itation ha! "een eliminated%&he !tandard '!e of 2 . of ry!talloid re!'!i
tation a! the !tarting point for all re!'!itati
on ha! "een modified to initiation of $ Lof crytalloid%
#arly ue of .lood and .lood product for
patient in hoc2 i! al!o empha!i-ed, witho't mandating or !'gge!ting any !peifi
ratio of pla!ma and platelet!%
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+eat !njury
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&here i! optional e+panded ontent
on heat in/'ry proided for tho!e
o'r!e! that are ta'ght in area! wh
ere heat in/'ry i! either a primarypro"lem or ha! the potential to !ig
nifiantly ompromi!e the are of i
n/'red patient!%
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'1MAT C+A*,#S
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3elvi
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ore empha!i! i! plaed on the peli! a! a ource of .lood lo% &h
i! ha! "een done "y moing all of
the ontent to the a"domen and peli! hapter and the !ho and !
'rgial !ill! !tation!%
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S2ill Station
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oth diagnotic peritoneal lavage (43L) a
nd pericardiocentei hae "een made o
ptional !ill !tation!%#f the o'r!e diretor hoo!e! not to teah
P., the new 'ocued Aement /ith
Sonography for Trauma ('AST) !ill !tation m'!t "e ta'ght; one way of a!!e!!ing t
he a"domen a! a !o're of potential "loo
d lo!! remain! mandatory%
&he *$4& !ill !tation i! only to introd'e th
e onept of the '!e of *$4& to eal'ate t
he a"domen and to proide e+ample imag
e! for the !t'dent to reogni-e%
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!nitial
AementScenario
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&here are !eeral new initial a!!e!
!ment !enario!, empha!i-ing ge
riatric patient5 .lunt trauma5 ri. fracture treatment5 and pelvic
fracture%
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ATLS $PP
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