+ Table of Contents

  1. Contributors
  2. Objectives
  3. Chapter 1: The importance of initial trauma management
  4. Chapter 2: Patient and staff safety
  5. Chapter 3: Introduction to the Trauma Team
  6. Chapter 4: Initial assessment of a trauma patient
  7. Chapter 5: Trauma resuscitation and management
    1. (H) Haemorrhage: Life-threatening external haemorrhage
    2. (A) Airway: Management of an unconscious trauma patient (airway management and spinal immobilization)
    3. (B) Breathing: Management of a trauma patient in Respiratory Distress (tension pneumothorax, haemothorax and open pneumothorax)
    4. (C) Circulation: Management of a trauma patient in Shock (recognising shock, haemorrhage control, IV fluid resuscitation)

Chapter 2: Patient and staff safety

Patients with severe injury may behave in an unpredictable fashion, threatening their own safety and the safety of attending medical and nursing staff.

Staff safety is the priority.

Staff should first check that the environment is safe and secured to allow effective and uninterrupted care. Security staff should be deployed if required.

Staff should routinely implement steps to ensure their ongoing safety. Barrier protection against transmissible disease is a basic necessity. Safe sharps disposal is mandatory. Imaging radiation protection may be required.

Finally, the patient’s safety requires consideration. Attention to life threatening condition; the correct performance of appropriate and indicated procedure; falls prevention; infective risk reduction; close supervision; and transfusion and medication delivery care are all key steps in improving patient safety.

Figure 1.  Safety is a priority. 

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