Emergency Neurological Life Support: Third Edition, Updates in the Approach to Early Management of a Neurological Emergency

Burns can be life threatening injuries with a significant risk of lifelong consequences. Severity of thermal injury is assessed using the combination of six essential factors (mechanism of injury, presence of inhalation trauma, extent of the burn area, depth of the burn, its location, patient’s age and co-morbidities) which also represent the determinants of referral to one of the three specialized burn centers in the Czech Republic. Early management consists of ABC Trauma Life Support (adequate oxygenation and ventilation, a venous access, parenteral fluid administration), pain relief, and sterile covering of the burn areas.

Download Full-text

Emergency Neurologic Life Support (ENLS): Evolution of Management in the First Hour of a Neurological Emergency

Neurocritical Care ◽

10.1007/s12028-015-0170-5 ◽

2015 ◽

Vol 23 (S2) ◽

pp. 1-4 ◽

Cited By ~ 5

Author(s):

Chad M. Miller ◽

Jose Pineda ◽

Megan Corry ◽

Gretchen Brophy ◽

Wade S. Smith

Keyword(s):

Life Support ◽

Neurological Emergency

Download Full-text

Survey of Airway Skills of Surgeons in Western Australia

Anaesthesia and Intensive Care ◽

10.1177/0310057x0903700406 ◽

2009 ◽

Vol 37 (4) ◽

pp. 630-633 ◽

Cited By ~ 6

Author(s):

R. H. Riley ◽

T. Strang ◽

S. Rao

Keyword(s):

Airway Management ◽

Difficult Airway ◽

Western Australia ◽

Life Support ◽

Severe Trauma ◽

Advanced Trauma Life Support ◽

Early Management ◽

Surgical Assistance ◽

Surgical Airway ◽

Failed Airway

Our objective was to survey all consultant surgeons, including obstetricians/gynaecologists, in the State of Western Australia to assess their experience with, and readiness to assist anaesthetists with a difficult or failed airway. Survey questionnaires were mailed to all surgeons registered in Western Australia (n=445). A total of 238 responses (53%) were received, mostly from general surgeons, obstetrician/gynaecologists and orthopaedic surgeons. Forty percent had provided non-surgical assistance with a difficult airway and 60% had assisted with a surgical airway. All ear, nose and throat surgeons who responded to the survey had assisted with an emergency surgical airway and 47 surgeons reported having performed six or more surgical airways. However, 26% of respondents had never performed a surgical airway and 37% did not feel confident in performing an urgent surgical airway. Seven percent of respondents reported witnessing a failed airway that resulted in death or neurological damage. Seventy percent of respondents had undergone formal training in tracheostomy and 26% had advanced trauma life support or early management of severe trauma training. These findings indicate that surgeons in Western Australia perform surgical airways infrequently and only occasionally assist anaesthetists with difficult airway management. However, some surgeons lack confidence and training in surgical airway management. Because anaesthetists cannot always rely on their surgical colleagues to provide a surgical airway during a crisis, we recommend that anaesthetists discuss airway management with their surgical colleagues for all patients with identified difficult airways and that anaesthesia training should include surgical airway management.

Download Full-text

Launch of the ATLS® 8th edition

Bulletin of The Royal College of Surgeons of England ◽

10.1308/147363509x413266 ◽

2009 ◽

Vol 91 (3) ◽

pp. 84-85

Author(s):

Rosalind Roden

Keyword(s):

Gold Standard ◽

Major Trauma ◽

Life Support ◽

Advanced Trauma Life Support ◽

Common Language ◽

Early Management ◽

Wide Range ◽

Eighth Edition ◽

The Uk ◽

8Th Edition

On 27 March 2009 The Royal College of Surgeons of England will host the launch of the eighth edition of the Advanced Trauma Life Support® (ATLS®) programme in the UK. ATLS® has just entered its 21st year of life in the UK. The courses are run in 120 regional centres and in 2008 trained over 4,200 providers. ATLS® represents the gold standard for those involved in the early management of major trauma. The programme currently has over 600 active instructors from a wide range of specialties, including general surgery, emergency medicine, trauma and orthopaedics, anaesthesiology and radiology. More than anything ATLS® promotes a common language among those of us who work together to care for trauma victims.

Download Full-text