Contents

Preface by Etienne Krug, WHO v

Foreword by Stephen Deane, IATSIC vii

Contributors ix

Acknowledgements x

1. Executive summary 1

2. Orientation to the Essential Trauma Care Project 3

2.1 Goals of the Essential Trauma Care Project 3

2.2 Disparities in outcome of trauma 4

2.3 Elements of trauma care to reinforce 4

2.4 Foundations on which to build 6

2.5 Evidence of the impact of better organization of trauma services 7

2.6 Development process for essential trauma care 8

2.7 Overlap with other activities 9

3. Essential trauma services: needs of the injured patient 11

4. Inputs needed to achieve essential trauma services 13

4.1 Overview 13

4.2 Resource matrix: introduction 13

4.3 Resource matrix: necessary elements of trauma care 1 3

4.4 Resource matrix: range of health facilities 14

4.5 Resource matrix: designation of priorities 16

5. Guidelines for essential trauma care 19

5.1 Airway management 19

5.2 Breathing—management of respiratory distress 22

5.3 Circulation—management of shock 24

5.4 Management of head injury 28

5.5 Management of neck injury 31

5.6 Management of chest injury 32

5.7 Management of abdominal injury 34

5.8 Management of extremity injury 36

5.9 Management of spinal injury 39

5.10 Management of burns and wounds 42

5.11 Rehabilitation 45

5.12 Pain control and medicines 48

5.13 Diagnosis and monitoring 53

5.14 Safety for health care personnel 56

5.15 Special considerations for children 57

6. Methods for promoting essential trauma care services 59

6.1 Training for trauma care 59

6.2 Performance improvement 64

6.3 Trauma team and organization of the initial resuscitation 69

6.4 Hospital inspection 72

6.5 Integration of systems for trauma management 75

6.6 Interaction and coordination of stakeholders 78

6.7 Progress to date 79

References 81

Annex 1. Detailed list of equipment and services for airway management 86

Annex 2. Composition of a typical trauma team 87 Annex 3. Detailed list of individuals and groups involved in development of Guidelines for essential trauma care 93

0 0

Post a comment