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Anesthesiology pp 667-677 | Cite as

Trauma Anesthesia

  • Michael A. Evans
  • Richard B. Johnson
Chapter

Abstract

According to the Centers for Disease Control and Prevention, trauma accounts for 41 million emergency department visits each year, leading to 2.3 million hospital admissions (Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS). http://www.cdc.gov/injury/wisqars, 2016). Traumatic injuries account for 30% of all life-years lost in the United States, a greater total than cancer and heart disease combined (Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS). http://www.cdc.gov/injury/wisqars, 2016). Trauma is the leading cause of death of those between the ages of 1 and 46 years old (Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS). http://www.cdc.gov/injury/wisqars, 2016). Survival is improved however when these patients are treated at a trauma center; data demonstrates that trauma hospitals reduce patient injury morbidity and mortality as compared to non-trauma centers (Smith et al., J Trauma. 30(12):1533–1538, 1990). Level 1–3 trauma center designees require an available anesthesiologist to care for patients with various forms and severity of injury. Trauma specialists are familiar with neurologic, thoracic, abdominal and orthopedic injuries, and often have extensive knowledge in the management of skin, tissue and airway burns. These specialists have patient care responsibilities throughout the perioperative period, from the trauma bay to the intensive care unit.

Keywords

Trauma Advanced Trauma Life Support (ATLS) Massive transfusion Glasgow Coma Score (GCS) Hypovolemic shock Hemorrhagic shock In-line stabilization Hypothermia Primary survey Rapid sequence intubation (RSI) Resuscitation 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Anesthesiology, Emory University HospitalEmory University School of MedicineAtlantaUSA

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