Les talks us through the primary survey in some special circumstances, some kit considerations and some human factors to think about.
Top 3 tips
1) Most importantly when you are delivering the primary survey don’t get side tracked to non-life threatening issues
2) Expect to repeat the primary survey at least once and probably more times, reassessment is crucial
3) Practice, practice, practice
Resources and links
Experience in Prehospital Intubation Signifi...
Les talks us through the primary survey in some special circumstances, some kit considerations and some human factors to think about.
Top 3 tips
1) Most importantly when you are delivering the primary survey don’t get side tracked to non-life threatening issues
2) Expect to repeat the primary survey at least once and probably more times, reassessment is crucial
3) Practice, practice, practice
Resources and links
Experience in Prehospital Intubation Significantly Influences Mortality of Patients with Severe Traumatic Brain Injury: A Systematic Review and Meta-analysis
https://journals.plos.org/plosone/article/figure?id=10.1371/journal.pone.0141034.t003
Prehospital endotracheal intubation vs extraglottic airway device in blunt trauma
https://pubmed.ncbi.nlm.nih.gov/25963681/
The Impact of Prehospital Endotracheal Intubation on Outcome in Moderate to Severe Traumatic Brain Injury
https://journals.lww.com/jtrauma/Abstract/2005/05000/The_Impact_of_Prehospital_Endotracheal_Intubation.10.aspx
Prehospital intubations and mortality: a level 1 trauma center perspective
https://pubmed.ncbi.nlm.nih.gov/19608824/
Difficult Intubation due to Penetrating Trauma from a Crossbow Bolt
https://pubmed.ncbi.nlm.nih.gov/32690309/
Management of the Traumatized Airway
https://pubmed.ncbi.nlm.nih.gov/26517857/
Resident manual of Trauma to the Face, Head and Neck
https://www.entnet.org/content/resident-manual-trauma-face-head-and-neck
Systematic review of the anaesthetic management of non-iatrogenic acute adult airway trauma
https://academic.oup.com/bja/article/117/suppl_1/i49/1744426
Hypothermia in trauma victims at first arrival of ambulance personnel: an observational study with assessment of risk factors
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5402666/
When do trauma patients lose temperature? - a prospective observational study
https://pubmed.ncbi.nlm.nih.gov/29315468/
Battlefield Trauma-Induced Hypothermia: Transitioning the Preferred Method of Casualty Rewarming
https://www.wemjournal.org/article/S1080-6032(17)30097-2/fulltext#:~:text=Battlefield%20Trauma%2DInduced%20Hypothermia%3A%20Transitioning%20the%20Preferred%20Method%20of%20Casualty%20Rewarming,-Brad%20L.&text=For%20centuries%2C%20cold%20and%20wet,foot%2C%20frostbite%2C%20and%20hypothermia.
Predictors of Hypothermia upon Trauma Center Arrival in Severe Trauma Patients Transported to Hospital via EMS
https://www.researchgate.net/publication/332214670_Predictors_of_Hypothermia_upon_Trauma_Center_Arrival_in_Severe_Trauma_Patients_Transported_to_Hospital_via_EMS
Biography:
Les Gordon is an experienced anaesthetist, whose special interest is in difficult airway management, and he instructs on the national Training in Emergency Airway Management course for this. He started Mountain Rescue eleven years ago in the Lake District and has attended about 450 rescues. His special interest is accidental hypothermia, about which he has published several papers, written chapters in two books, given presentations at National and International conferences, and has drawn up and regularly updates Mountain Rescue England & Wales Hypothermia protocols
