Atls 9 Edicion. Ppt

7/17/2019 Atls 9 Edicion. Ppt

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Advanced Trauma Life Support

(ATLS ®

): The ninth editionJournal of Trauma and Acute Care Surgery

2013; 72(5): 1363–1366





C*T#*T C+A*,#S



Team Training



Preparation of the team, along with

team dynami! and de"riefing, ar

e important part! of team-.aedcare that are highlighted in the #ni

tial $!!e!!ment hapter%



Air/ay



&he '!e of additional adaned air

way tehni'e! i! highlighted, along with the '!e of videolaryngo

copy%

*or pediatric patient, the '!e of c

uffed endotracheal tu.e for all

hildren (with the e+eption of infant! 1 year of age) i! !'gge!ted%



0alanced

1eucitation



&he onept of .alanced reucitation i! f

'rther empha!i-ed, and the term aggre!!i

e re!'!itation ha! "een eliminated%&he !tandard '!e of 2 . of ry!talloid re!'!i

tation a! the !tarting point for all re!'!itati

on ha! "een modified to initiation of $ Lof crytalloid%

#arly ue of .lood and .lood product for

patient in hoc2 i! al!o empha!i-ed, witho't mandating or !'gge!ting any !peifi

ratio of pla!ma and platelet!%



+eat !njury



&here i! optional e+panded ontent

on heat in/'ry proided for tho!e

o'r!e! that are ta'ght in area! wh

ere heat in/'ry i! either a primarypro"lem or ha! the potential to !ig

nifiantly ompromi!e the are of i

n/'red patient!%



'1MAT C+A*,#S



3elvi



ore empha!i! i! plaed on the peli! a! a ource of .lood lo% &h

i! ha! "een done "y moing all of

the ontent to the a"domen and peli! hapter and the !ho and !

'rgial !ill! !tation!%



S2ill Station



oth diagnotic peritoneal lavage (43L) a

nd pericardiocentei hae "een made o

ptional !ill !tation!%#f the o'r!e diretor hoo!e! not to teah

P., the new 'ocued Aement /ith

Sonography for Trauma ('AST) !ill !tation m'!t "e ta'ght; one way of a!!e!!ing t

he a"domen a! a !o're of potential "loo

d lo!! remain! mandatory%

&he *$4& !ill !tation i! only to introd'e th

e onept of the '!e of *$4& to eal'ate t

he a"domen and to proide e+ample imag

e! for the !t'dent to reogni-e%



!nitial

AementScenario



&here are !eeral new initial a!!e!

!ment !enario!, empha!i-ing ge

riatric patient5 .lunt trauma5 ri. fracture treatment5 and pelvic

fracture%



ATLS $PP





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Atls 9 Edicion. Ppt