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Recent advances in trauma management

The Royal Surrey County and St Luke’s Hospital Trust, Guildford, UK

Bernard Riley

Adult Intensive Care Unit

Adam Brooks

Section of Surgery, Queen’s Medical Centre, University Hospital, Nottingham, UK

Stuart Matthews

Department of Orthopaedics, St James’ Hospital, Leeds, UK

Twenty-three thousand doctors in the UK have undertaken The Advanced Trauma Life Support Course for doctors over the past 12 years. The course was never designed to provide anything more than a framework within which inexperienced doctors could safely manage multiple injured patients until expert help arrived. Its critics will say that the course is didactic and its treatment protocols are not always up to date. Since its inception in 1976 in Nebraska it has undergone constant revision and the seventh edition of the course will appear in 2002. With each revision, evidence for new methods of management for the trauma victims are reviewed; some of these are discussed in this paper.

Key Words: trauma • recent advances • pre-hospital care • imaging • ventilatory strategies • FAST • damage control surgery • pelvic fractures

Trauma, Vol. 3, No. 3, 143-150 (2001)
DOI: 10.1177/146040860100300302


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