Creating a trauma anaesthesia service

  • M. J. A. Parr
  • J. P. Nolan
  • G. Desjardins
Part of the Topics in Anaesthesia and Critical Care book series (TIACC)


Trauma anaesthesia refers to a speciality within anaesthesia that exists to manage the victims of trauma. As such it should be differentiated from anaesthesia for trauma. The emphasis is on preservation of life and limb through resuscitation, the provision of analgesia, surgical anaesthesia and critical care. Trauma anaesthesia has special requirements in terms of facility and personnel, and encompasses management of the trauma patient from the time of injury until discharge from a critical care facility.


Trauma Patient Emergency Medical Service Trauma System Trauma Team Advance Trauma Life Support 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Royal College of Surgeons of England (1988) Report of the working party on the management of patients with major injuries. RCSE, London.Google Scholar
  2. 2.
    Anderson ID, Woodford M, de Dombal T, Irving M (1988) A retrospective study of 1000 deaths from injury in England and Wales. Br Med J 296:1305–1308.CrossRefGoogle Scholar
  3. 3.
    Hussain LM, Redmond AD (1994) Are pre-hospital deaths from accidental injury preventable? Br Med J 308:1077–1080CrossRefGoogle Scholar
  4. 4.
    American College of Surgeons Committee on Trauma (1990) Hospital and pre-hospital resources for optimal care of the injured patient. Bull Am Coll Surg 77:20–29.Google Scholar
  5. 5.
    Simpson HK, Smith GB (1996) Survey of paramedic skills in the United Kingdom and Channel Islands. Br Med J 313:1052–1053.CrossRefGoogle Scholar
  6. 6.
    Carli PA, Riou B, Barriot P (1993) France. In: Grande C (ed) Textbook of trauma anesthesia and critical care. Mosby-Year Book, St Louis, pp 199–204.Google Scholar
  7. 7.
    Kaweski SM, Sise MJ, Virgilio RW (1990) The effect of pre-hospital fluids on survival in trauma patients. J Trauma 30:1215–1219.PubMedCrossRefGoogle Scholar
  8. 8.
    Potter D, Goldstein G, Fung SC, Selig M (1988) A controlled trial of pre-hospital advanced life support in trauma. Ann Emerg Med 17:582–588.PubMedCrossRefGoogle Scholar
  9. 9.
    Sampalis JS, Boukas S, Lavoie A, Nikolis A, Frechette P, Brown R, Fleiszer D, Mulder D (1995) Preventable death evaluation of the appropriateness of the on-site trauma care provided by Urgences-Sante physicians. J Trauma 39:1029–1035.PubMedCrossRefGoogle Scholar
  10. 10.
    Sampalis JS, Lavoie A, Williams JI, Mulder DS, Kalina M (1993) Impact of on-site care, pre-hospital time, and level of in-hospital care on survival in severely injured patients. J Trauma 34:252–261.PubMedCrossRefGoogle Scholar
  11. 11.
    Schmidt U, Frame SB, Nerlich ML, Rowe DW, Enderson BL, Maull KI, Tscherne H (1992) On-scene helicopter transport of patients with multiple injuries: comparison of a German and an American system. J Trauma 33:548–555.PubMedCrossRefGoogle Scholar
  12. 12.
    Smith JP, Bodai BL, Hill AS, Frey CF (1985) Pre-hospital stabilisation of critically injured patients: a failed concept. J Trauma 25:65–70.PubMedCrossRefGoogle Scholar
  13. 13.
    Cayten CG, Murphy JG, Stahl WM (1993) Basic life support versus advanced life support for injured patients with an injury severity score of 10 or more. J Trauma 35:460–467PubMedCrossRefGoogle Scholar
  14. 14.
    Task Force of the American Heart Association, the European Resuscitation Council, the Heart and Stroke Foundation of Canada, and the Australian Resuscitation Council (1991) Recommended guidelines for uniform reporting of data from out of hospital cardiac arrest: the Utstein style. Circulation 84:960–975.CrossRefGoogle Scholar
  15. 15.
    Mackenzie CF, Nolan J, Kahn R, Delaney PA, Grande C (1996) Trauma anesthesia practices, training and facilities. Anesthesiology 85:A252.Google Scholar
  16. 16.
    Cheng EY, Nimphius N, Kampine JP (1992) Anesthetic drugs and emergency departments. Anesth Analg 74:272–275.PubMedCrossRefGoogle Scholar
  17. 17.
    Oakley PA (1994) Setting and living up to national standards for the care of the injured. Injury 25:595–604.PubMedCrossRefGoogle Scholar
  18. 18.
    Rady MY (1994) Possible mechanisms for the interaction of peripheral somatic nerve stimulation, tissue injury, and hemorrhage in the pathophysiology of traumatic shock. Anesth Analg 78:761–765PubMedCrossRefGoogle Scholar
  19. 19.
    Working Party of the Neuroanaesthesia Society of Great Britain and Ireland and the Association of Anaesthetists of Great Britain and Ireland (1996) Recommendations for the transfer of patients with acute head injuries to neurosurgical units. The Association of Anaesthetists of Great Britain and Ireland, LondonGoogle Scholar
  20. 20.
    Grande CM (ed) (1993) Textbook of trauma anesthesia and critical care. Mosby-Year Book, St LouisGoogle Scholar
  21. 21.
    Committee on Trauma of the American College of Surgeons (1989–1997) Advanced Trauma Life Support manual. American College of Surgeons, Chicago, ILGoogle Scholar
  22. 22.
    Ali J, Adam R, Butler AK et al (1993) Trauma outcome improves following the advanced trauma life support program in a developing country. J Trauma 34:890–898.PubMedCrossRefGoogle Scholar
  23. 23.
    Ali J, Adam R, Stedman M, Howard M, Williams JI (1994) Advanced trauma life support program increases emergency room application of trauma resuscitative procedures in a developing country. J Trauma 36:391–394.PubMedCrossRefGoogle Scholar
  24. 24.
    Bennett JR, Bodenham AR, Berridge JC (1992) Advanced trauma life support. A time for reappraisal. Anaesthesia 47:798–800.PubMedCrossRefGoogle Scholar
  25. 25.
    Mackenzie CF (1993) Simulation of trauma anaesthesia. In: Grande C (ed) Textbook of trauma anesthesia and critical care. Mosby-Year Book, St. Louis, pp 199–204.Google Scholar
  26. 26.
    Wardrope J, Cross SF, Fothergill DJ (1990) One year’s experience of major trauma outcome study methodology. Br Med J 301:156–159.CrossRefGoogle Scholar
  27. 27.
    Champion HR, Copes WS, Sacco WJ, Lawnick MM et al (1990) The major trauma outcome study: establishing national norms for trauma care. J Trauma 30:1356–1365.PubMedCrossRefGoogle Scholar
  28. 28.
    Yates DW, Woodford M, Hollis S (1992) Preliminary analysis of the care of injured patients in 33 British hospitals: first report of the United Kingdom major trauma outcome study. Br Med J 305:737–740CrossRefGoogle Scholar
  29. 29.
    The UK Trauma Audit and Research Network (1996) A guide for clinicians. The University of Manchester, Manchester.Google Scholar
  30. 30.
    Roberts I, Campbell F, Hollis S, Yates D (1996) On behalf of the Steering Committee of the Major Trauma Outcome Study Group. Reducing accident death rates in children and young adults: the contribution of hospital care. Br Med J 313:1239–1241CrossRefGoogle Scholar
  31. 31.
    National Safety Council (1996) Accident Facts. National Safety Council, ItascaGoogle Scholar
  32. 32.
    Centers for Disease Control and Prevention (1997) Leads from the morbidity and mortality weekly report. Update: fatal air bag-related injuries children.JAMA 277(1):11–12.CrossRefGoogle Scholar
  33. 33.
    Baker SP (1997) Advances and adventures in trauma prevention. J Trauma 42:369–373PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 1999

Authors and Affiliations

  • M. J. A. Parr
  • J. P. Nolan
  • G. Desjardins

There are no affiliations available

Personalised recommendations