Early assessment of multiple trauma

  • C. D. Deakin
Conference paper


In European countries, trauma remains the commonest cause of death below the age of 40 years. Annual European deaths from road traffic accidents alone exceed 50,000 [1], with approximately 10 times this number being seriously injured. Despite various European safety campaigns, there is little to suggest that trauma deaths, particularly those from road traffic accidents, are declining in frequency. As life expectancy increases, the lifetime risk of an individual being involved in a serious accident increases further. Trauma patients will continue to place large demands on health resources, in terms of both acute management and the long-term rehabilitation of survivors.


Cervical Spine Endotracheal Intubation Laryngeal Mask Airway Road Traffic Accident Multiple Trauma 
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.
    Cloag D (1993) Europe needs more road safety. BMJ 306:165Google Scholar
  2. 2.
    American College of Surgeons (1997) Advanced Trauma Life Support Course Manual, 6th edn.Google Scholar
  3. 3.
    Lockey D, Davies G, Coats T (2001) Survival of trauma patients who have prehospital tracheal intubation without anaesthesia or muscle relaxants: observational smdy. BMJ 323:141PubMedCrossRefGoogle Scholar
  4. 4.
    Davies G, Deakin C, Wilson A (1996) The effect of a rigid collar on intracranial pressure. Injury 27:647–649PubMedCrossRefGoogle Scholar
  5. 5.
    Britten S, Palmer S (1996) Chest wall thickness may limit adequate drainage of tension pneumothorax by needle thoracocentesis. J Accid Emerg Med 13:426–427PubMedCrossRefGoogle Scholar
  6. 6.
    Eckstein M, Suyehara D (1998) Needle thoracostomy in the prehospital setting. Prehosp Emerg Care 2:132–135PubMedCrossRefGoogle Scholar
  7. 7.
    Deakin C, Davies G, Wilson A (1995) Simple thoracostomy avoids chest drain insertion in prehospital trauma. J Trauma 39:373–374PubMedCrossRefGoogle Scholar
  8. 8.
    Deakin C, Low J (2000) Accuracy of the advanced trauma life support guidelines for predicting systolic blood pressure using carotid, femoral, and radial pulses: observational study. BMJ 16:673–674CrossRefGoogle Scholar
  9. 9.
    Alderson P, Schierhout G, Roberts I, et al (2002) Colloids versus crystalloids for fluid resuscitation in critically ill patients (Cochrane Review). In: The Cochrane Library, Issue 2. Update Software, OxfordGoogle Scholar
  10. 10.
    Kreimeier U, Messmer K (2002) Small-volume resuscitation: from experimental evidence to clinical routine. Advantages and disadvantages of hypertonic solutions. Acta Anaesthesiol Scand 46:625–638PubMedCrossRefGoogle Scholar
  11. 11.
    Dutton R, Mackenzie C, Scalea T (2002) Hypotensive resuscitation during active hemorrhage: impact on in-hospital mortahty. J Trauma 52:1141–1146PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2003

Authors and Affiliations

  • C. D. Deakin

There are no affiliations available

Personalised recommendations