Apport de la formation "Advanced trauma life support" dans la prise en charge du polytraumatisé par le médecin généraliste PDF Download

Author: Arnaud Philippe
Publisher:
ISBN:
Category :
Languages : fr
Pages : 146

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Introduction : Afin d'étudier l'apport de la formation Advanced trauma life support (ATLS) dans la prise en charge du polytraumatisé par le médecin généraliste, nous avons évalué les pratiques professionnelles (PP) d'une population médicale avant et après la formation. Méthode : Une étude prospective multicentrique d'évaluation des pratiques professionnelles s'appuyant sur l'utilisation d'un test de concordance de script (TCS) avant et 5 mois après la formation a été mise en place. La mesure de l'évolution des PP a reposé sur la progression du score obtenu au TCS avant et après la formation. La population médicale étudiée a été répartie en 4 groupes : généralistes (MG), chirurgien (CH), réanimateur (MAR), urgentiste (MU) MG et CH ont été fusionnés pour des questions d'effectifs lors de l'analyse préliminaire des résultats. Résultats préliminaires : Sur les 84 médecins inscrits à l'ATLS du 29/01/17 au 31/08/17, 53 (63,1%) médecins ont été inclus en pré-formation dont 9 (17%) MG et 10 (18,9%) CH, et 14 en post-formation, dont 2 (14,3%) MG et 2 (14 ,3%) CH. 11 personnes ont pu être appariées en pré-post formation dont 3 MGCH (1MG et 2 CH). Le score médian du groupe MGCH a progressé de 7 points sur 100 (p=0,842) après la formation, passant de 61,6 [60,9 ; 65,6] à 68,6 [53,9 ; 68,7] points. Conclusion : Le faible effectif à ce stade préliminaire ne nous permet pas d'objectiver de modification statistiquement significative des pratiques médicales des généralistes malgré une augmentation sensible du score au TCS. Cependant, la poursuite de cette étude prospective à son terme permettra d'objectiver une éventuelle modification des pratiques des médecins généralistes.

Author: Norman E. McSwain
Publisher: Elsevier Masson
ISBN: 9782842996437
Category :
Languages : fr
Pages : 399

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Créé en 1983 par l'Association américaine des techniciens médicaux d'urgence (NAEMT) et le Collège américain des chirurgiens, le PHTLS (Pre Hospital Trauma Life Support) représente la version préhospitalière de la célèbre formation ATLS (Advanced Trauma Life Support). Fondé sur le concept de l'evidence based medicine et mis à jour tous les quatre ans, le PHTLS constitue aujourd'hui une ressource d'informations globale pour la gestion des patients traumatisés en pratique préhospitalière. Ce livre, traduit de la cinquième édition révisée américaine, privilégie avant tout l'efficacité par son approche pédagogique originale et la clarté de ses nombreuses illustrations. Il permet aux intervenants d'affiner leur capacité à évaluer rapidement l'état de gravité d'un patient, puis de développer une stratégie thérapeutique sur le principe du " traiter en premier ce qui tue en premier ". Une importance particulière est accordée à l'anatomie, la physiologie et la physiopathologie des principaux systèmes du corps humain, ainsi qu'à l'évaluation et la prise en charge des différents types de traumatismes. Aéré et pratique, l'ouvrage comprend : des cahiers illustrant étape par étape, avec une riche iconographie, les techniques de gestion des voies aériennes, de ventilation et de stabilisation du rachis ; des algorithmes relatifs à l'évaluation du patient, la prise en charge de l'état de choc et la gestion des différents traumatismes et lésions ; la dernière actualisation des données consacrées à la prévention des traumatismes et aux principes d'or des soins aux traumatisés ; un point complet sur la prise en charge spécifique des enfants et des personnes âgées ainsi que sur les patients traumatisés dans un contexte militaire. Cet ouvrage s'adresse particulièrement aux médecins, infirmiers ou secouristes impliqués dans les situations d'urgences préhospitalières.

Author: National Association of Emergency Medical Technicians (NAEMT),
Publisher: Jones & Bartlett Learning
ISBN: 9781284041736
Category : Medical
Languages : en
Pages : 0

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Book Description
PHTLS: Prehospital Trauma Life Support, Eighth Edition is the premier and proven global prehospital trauma education program from NAEMT. For three decades, PHTLS has improved the quality of trauma patient care and has saved lives. The eighth edition of PHTLS continues the PHTLS mission to promote excellence in trauma patient management by all providers involved in the delivery of prehospital care through global education. This legendary program was first developed by the National Association of Emergency Medical Technicians (NAEMT) in the early 1980s in cooperation with the American College of Surgeons Committee on Trauma (ACS-COT). Its medical content is continuously revised and updated to reflect current, state-of-the-art knowledge and practice. PHTLS promotes critical thinking as the foundation for providing quality care.

Author: National Association of Emergency Medical Technicians (U.S.). Pre-Hospital Trauma Life Support Committee
Publisher:
ISBN: 9780815163336
Category : Accidents
Languages : en
Pages : 396

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A unique combination of both basic and advance trauma life support concepts and skills for use as part of the core curriculum in trauma training at the EMT and paramedic levels, this book covers all aspects of trauma assessment and management, including triage.

Author:
Publisher: Mosby Incorporated
ISBN: 9780323027441
Category : Medical
Languages : en
Pages : 441

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Book Description
Prehospital Trauma Life Support (PHTLS)revised reprint, is a unique, continuing education program that directly addresses trauma issues in the prehospital environment. Following the publication cycle of ATLS (Advanced Trauma Life Support) by the Committee on Trauma of the American College of Surgeons, the PHTLS program is designed to enhance and increase knowledge and skill in delivering trauma care. This revised fifth edition of the PHTLS textbook is the required book for the PHTLS course, and is also ideal for use as the trauma component of a paramedic course or as a general reference book on trauma assessment and management. It combines both basic and advanced trauma concepts and skills in one definitive resource and now features an entirely new chapter on evidence-based guidelines for military medicine, developed by the Committee on Tactical Combat Casualty Care. PLEASE NOTE: The Instructor's Manual and Slide Set are available for certified PHTLS Instructors ONLY. They are ordered through Mosby but customers must first obtain an "access code" from the National PHTLS office - (800) 94-PHTLS or (601) 924-7744. Individuals may also call the above numbers for information on HOW TO BECOME A PHTLS INSTRUCTOR. PHTLS Course Features: Provides CEUs for First Responders, EMTs, paramedics, nurses, & physicians; Proceeds from the course go to the NAEMT and thus are used to support the profession; It improves the quality of care (Research is available); Can be incorporated into initial training or as a stand-alone continuing education course; Promotes critical thinking as the foundation for providing quality care. PHTLS (Prehospital Trauma Life Support) is a continuing education program authored and administered by the PHTLS division of the National Association of EMTs (NAEMT) in conjunction with the Committee on Trauma of the American College of Surgeons. The PHTLS textbook is the required book for official PHTLS courses. However, it can also be used outside of the course, adopted or purchased as a stand-alone textbook or reference book. This one book covers both basic and advanced level training. More information on kinematics than any similar book on the market. Airway, Thoracic and Spinal Skills are presented in a heavily illustrated, step-by-step format. Consistent approach! Each body region chapter features info on anatomy and physiology, pathophysiology, assessment and management giving the reader a systematic way of looking at trauma. Chapter pedagogy includes: objectives, opening case scenario and scenario conclusion at the end of chapter, summary, review questions. Features a separate chapter on trauma care for the Military. NEW TO THE REVISED 5TH EDITION: UPDATED and EXPANDED chapter on Military Medicine to reflect the new evidence based guidelines for prehospital care in the tactical environment. This new content was developed in 2002 by the Committee on Tactical Combat Casualty Care, comprised of trauma specialists, operational medical officers, and combat medical personnel. NEW TO THE 5TH EDITION: NEW! A Companion CD-ROM is now included with every book. Contains video clips of all different airway and spinal skills used in PHTLS. Also includes info to download onto a PDA (such as the Glasgow Coma Scale, Revised Trauma Score, Rule of 9's, Parkland Formula and Pediatric Vital Signs). NEW! Chapter on Injury Prevention. Provides the reader with information on preventing injuries within their community. NEW! Chapter on Triage, Transport and Trauma Systems. Provides the reader with a "pull it all together" concept of how to triage a trauma patient, how and when to transport a trauma patient and where to transport a trauma patient. NEW! Chapter on the Golden Principles of Prehospital Trauma Care. Provides the reader with guidelines to put all the information together and critically think through every trauma patient. NEW! Information on prolonged transportation. NEW! References for every chapter and suggested reading lists. Providing evidence based prehospital trauma care. NEW! Drug table for commonly used drugs for pharmacologically assisted intubation. Provides general guidelines of current accepted drug use for intubation. NEW! Spinal Immobilization algorithm. Provides general guidelines for when spinal immobilization is appropriate for a trauma patient. ALL NEW PHOTOS! An entirely new set of photographs for the skills portion of this text. NEW! Face to Face Intubation is a procedure that provides advanced providers with an alternative method of intubating a trauma patient. NEW SPINAL SKILLS! - 2 person technique for standing longboard application and 2-person rapid extrication. Revised - Head Trauma chapter. Expanded coverage of the pathophysiology of secondary brain injury. Expanded coverage of the management of traumatic brain injury. Also now includes information on management of brain injury during prolonged transportation. Revised: Shock chapter. Now provides information on the complications of shock, expanded coverage on the assessment and confounding factors that contribute to shock, specific guidelines for appropriate use of the Pneumatic Antishock Garment (PASG), and more. Expanded! The Patient Assessment and Management chapter now includes expanded information on hemorrhage control and evaluating level of consciousness at the scene, pain management and assessing of domestic abuse. Expanded! Chapter on trauma in the elderly. Expanded coverage on the systematic effects of aging, the common mechanisms of injury in the elderly and special considerations in the management of the elderly in an ABCDE approach. COMPANION CD-ROM: Includes video presentations of more than 20 skills being performed in "real-time." These skills include: Airway Maneuvers, Dual Lumen Device insertion, Endotracheal Intubation (traditional, face-to-face, nasal), Helmet Removal techniques, Rapid Extrication (2 person and +2person), Standing Longboard Application (2 person and +2 person), and more!

Author:
Publisher:
ISBN:
Category : Life support systems (Critical care)
Languages : en
Pages : 236

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Author: Raymond H. Alexander
Publisher:
ISBN: 9781880696002
Category : First aid in illness and injury
Languages : en
Pages : 396

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Book Description

Author: Naemt
Publisher: Jems Publishing Company
ISBN: 9780323065030
Category : Medical
Languages : en
Pages : 783

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Book Description
As the required textbook for NAEMT's worldwide prehospital trauma life support course, Prehospital Trauma Life Support (PHTLS) is the comprehensive, internationally renowned resource for learning basic and advanced prehospital trauma skills and concepts. Fully revised and updated, the 7th edition provides state-of-the-art, evidence-based trauma treatment and guidelines that are proven to reduce morbidity and mortality. Tailored expressly for the military environment, this book diverges in the last 12 chapters to reflect the special considerations of the military. These unique chapters are written by the Tactical Combat Casualty Care Committee on Trauma, the leading body that oversees trauma care. The Instructor's Electronic Resource CD-ROM is available for certified PHTLS instructors only. It can be ordered through Elsevier/MosbyJems, but customers must first obtain an access code from the National PHTLS office at 1-800-94-PHTLS or 1-601-924-7744. Individuals may also call the above numbers for information on How to Become a PHTLS Instructor. Provides CEUs for military prehospital care providers, first responders, EMTs, paramedics, nurses, and physicians; proceeds from the course go to the NAEMT and are used to support the profession; helps you improve the quality of care (based on available research); can be incorporated into initial training or as a stand-alone continuing education course; promotes critical thinking as the foundation for providing quality care. PHTLS is a continuing education program authored and administered by the PHTLS division of the National Association of EMTs (NAEMT) in conjunction with the Committee on Trauma of the American College of Surgeons. Comprehensive, evidenced-based coverage incorporates the latest research across all aspects of prehospital trauma in one convenient resource. Heavily illustrated presentation guides you step-by-step through essential airway, thoracic, and spinal skills. Each chapter details important prolonged transportation guidelines. Includes more information on kinematics than any similar book on the market. A consistent approach for every body system makes it easy to reference key content on anatomy and physiology, pathophysiology, and assessment and management. Chapter Objectives and closing Summaries break down must-know information for each chapter. Two Environmental Trauma chapters provide response protocols for a wide variety of environmental emergencies. Wilderness Trauma Care chapter helps you confidently treat trauma patients in wilderness situations and includes information on extended transport times. Civilian Tactical EMS chapter details steps you can take to support police operations, promote crime scene awareness, and apply PHTLS concepts to civilian tactical settings. Burns chapter guides you through the treatment of burn trauma patients. Three new Military Medicine chapters add to coverage for the military environment: Joint Theater Trauma System, Treatment of Burn Casualties in TCCC, and TCCC Casualty Response Planning. More than 30 video demonstrations on the companion DVD provide step-by-step procedural guidance for key skills, including 20 fully re-shot demonstrations and four brand-new skills for King Airway, Sitting Immobilization (Vest Type), Cervical Collar Sizing and Application, and Needle Cricothyrotomy; subtitles are available in eight languages (Danish, Dutch, English, French, Portuguese, Spanish, German, and Chinese (Mandarin). Extensively updated photos clarify key concepts and techniques. New Art and Science of Medicine chapter helps you build the critical thinking skills to determine the best way to manage trauma patients based on each individual situation and condition. Expanded chapter on Explosives and Other Weapons of Mass Destruction outlines essential steps for responding to accidents involving biological, nuclear, incendiary, chemical, or explosive agents. Updated Disaster Management chapter details the latest management techniques and protocols. All-new Scenarios and Scenario Solutions challenge you to apply treatment concepts to realistic situations you may encounter in the field. Enhanced organization reflects the most up-to-date research and mirrors the content and presentation of the American College of Surgeons' Advanced Trauma Life Support (ATLS) 8th Edition course.

Author: American College of Surgeons Committee on Trauma
Publisher:
ISBN: 9781880696415
Category :
Languages : fr
Pages :

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Author: National Association of Emergency Medical Technicians (U.S.)
Publisher: Jones & Bartlett Publishers
ISBN: 9781284171440
Category :
Languages : en
Pages :

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"In the field, seconds count. PHTLS: Prehospital Trauma Life Support Course Manual teaches and reinforces the principles of rapidly assessing a trauma patient using an orderly approach, immediately treating life-threatening problems as they are identified, and minimizing any delays in initiating transport to an appropriate destination"--Provided by publisher.