Sponsored by the Council of Residency Directors in Emergency Medicine
Trauma
Resources to Review Prior to Conference
Trauma Resuscitation
Vanderbilt Emergency Medicine
Goals and Objectives
Goals
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Trainee will demonstrate competence in the initial evaluation and basic management of patients with blunt and penetrating traumatic injuries
Objectives
Trainee will be able to:
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List, describe, and demonstrate the steps of the primary survey
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Airway and c-spine protection
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Breathing and ventilation
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Circulation and hemorrhage control
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Disability
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Exposure
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List and describe potential procedures and interventions performed during the primary survey and their indications, including:
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Intubation
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Cricothyrotomy
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Chest tube insertion
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Thoracotomy
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Massive transfusion protocol
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Peripheral venous access
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Central venous access
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FAST exam
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List, describe, and demonstrate the steps of the secondary survey
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Define and describe “damage control resuscitation”
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List “hard signs” for emergent operative management of each of the following:
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Head trauma
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Neck trauma, penetrating
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Thoracic trauma, blunt
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Thoracic trauma, penetrating
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Abdominal trauma, blunt
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Abdominal trauma, penetrating
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Pelvic trauma
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Extremity trauma
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Additional Resources
Overview
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Approach to Trauma (CDEM 2019)
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Lethal Triad and BP Goals (EMCrit 2009)
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Hemorrhagic Shock Resuscitation (EMCrit 2010)
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Traumatic Arrest (EMCrit 2010)
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EAST on Monitoring and Resuscitation Endpoints (J Trauma 2018) (pdf)
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EAST on Prehospital Fluid Resuscitation (J Trauma 2009) (pdf)
Massive Transfusion
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Massive Transfusion (EMCrit 2012)
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Massive Transfusion (EMCrit 2009)
Head Trauma
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Intracranial Hemorrhage (CDEM 2019)
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Management of Severe Traumatic Brain Injury (Neurosurg 2017) (pdf)
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Increased ICP Treatment (EMCrit 2012)
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EAST on Blunt Cerebrovascular Injury (J Trauma 2010) (pdf)
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Mild Traumatic Brain Injury (ACEP Clinical Policy 2008) (pdf)
Cervical Spine Trauma
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EAST on Cervical Spine Clearance (J Trauma Acute Care Surg 2015) (pdf)
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EAST on Cervical Spine Injuries Following Trauma (J Trauma 2009) (pdf)
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Diagnosing C-spine Injuries (EMCrit 2012)
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Cervical Spine Inury (EBMedicine 2009)
Penetrating Neck Trauma
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Penetrating Neck Trauma (EM-in-5 2016)
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Western Trauma Association on Penetrating Neck Trauma (J Trauma Acute Care Surg 2013) (pdf)
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EAST on Penetrating Zone II Neck Trauma (J Trauma 2008) (pdf)
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Penetrating Neck Trauma (Practical Evidence 2012)
Blunt Thoracic Trauma
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Thoracic Trauma (CRACKCast 2016)
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EAST on Blunt Aortic Injury (J Trauma Acute Care Surg 2015) (pdf)
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EAST on Blunt Cardiac Injury (J Trauma Acute Care Surg 2012) (pdf)
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Chest Trauma (CDEM 2019)
Penetrating Thoracic Trauma
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Western Trauma Association: Penetrating Chest Trauma (J Trauma Acute Care Surg 2014) (pdf)
Blunt Abdominal Trauma
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Blunt Abdominal Trauma (ACEP Clinical Policy 2011) (pdf)
Penetrating Abdominal Trauma
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Penetrating Abdominal Trauma (LITFL 2019)
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EAST on Selective Non-Operative Management of Penetrating Abdominal Trauma (J Trauma 2010)
Pelvic and Genitourinary Trauma
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Renal and Genitourinary Trauma (EB Medicine 2017)
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Severe Pelvic Trauma (EMCrit 2012)
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EAST on Pelvic Fracture Hemorrhage (J Trauma 2011)
Facial Trauma
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Facial Fractures (CORE EM 2018)
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Exsanguinating Mid-Face Hemorrhage (EMCrit 2013)
Extremity Trauma
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Extremity Injuries (LITFL 2019)
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EAST on Penetrating Lower Extremity Arterial Injury (J Trauma Acute Care Surg 2012) (pdf)
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Western Trauma Assoc on Peripheral Vascular Injury (J Trauma 2011)
FAST Exam
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Don’t Half-Ass Your FAST (EMCrit 2013)
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FAST Exam (One Minute US 2012)