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ATLS Guideline 2018.pdf

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TENTH EDITION ATLS ® Advanced Trauma Life Support® Student Course Manual New to this edition ATLS ® Advanced Trauma Life Support® Student Course Manual Chair of Committee on Trauma: Ronald M. Stewart, MD, FACS Medical Director of Trauma Program: Michael F. Rotondo, MD, FACS ATLS Committee Chair: Sharon M. Henry, MD, FACS ATLS Program Manager: Monique Drago, MA, EdD Executive Editor: Claire Merrick Project Manager: Danielle S. Haskin Develo
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  Student Course Manual New to this edition  TENTH EDITION ATLS ® Advanced Trauma Life Support ®  Student Course Manual ATLS ® Advanced Trauma Life Support ®  Chair of Committee on Trauma:  Ronald M. Stewart, MD, FACS Medical Director of Trauma Program: Michael F. Rotondo, MD, FACS  ATLS Committee Chair: Sharon M. Henry, MD, FACS  ATLS Program Manager: Monique Drago, MA, EdD Executive Editor: Claire Merrick Project Manager: Danielle S. Haskin Development Editor: Nancy Peterson Media Services: Steve Kidd and Alex Menendez, Delve Productions Designer: Rainer Flor Production Services:  Joy Garcia  Artist: Dragonfly Media GroupTenth Edition Copyright© 󰀲󰀰󰀱󰀸 American College of Surgeons 󰀶󰀳󰀳 N. Saint Clair StreetChicago, IL 󰀶󰀰󰀶󰀱󰀱-󰀳󰀲󰀱󰀱 Previous editions copyrighted 󰀱󰀹󰀸󰀰, 󰀱󰀹󰀸󰀲, 󰀱󰀹󰀸󰀴, 󰀱󰀹󰀹󰀳, 󰀱󰀹󰀹󰀷, 󰀲󰀰󰀰󰀴, 󰀲󰀰󰀰󰀸, and 󰀲󰀰󰀱󰀲 by the American College of Surgeons. Copyright enforceable internationally under the Bern Convention and the Uniform Copyright Convention. All rights reserved. This manual is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the American College of Surgeons. The American College of Surgeons, its Committee on Trauma, and contributing authors have taken care that the doses of drugs and recommendations for treatment contained herein are correct and compatible with the standards generally accepted at the time of publication. However, as new research and clinical experience broaden our knowledge, changes in treatment and drug therapy may become necessary or appropriate. Readers and participants of this course are advised to check the most current product information provided by the manufacturer of each drug to be administered to verify the recommended dose, the method and duration of administration, and contraindications. It is the responsibility of the licensed practitioner to be informed in all aspects of patient care and determine the best treatment for each individual patient. Note that cervical collars and spinal immobilization remain the current Prehospital Trauma Life Support (PHTLS) standard in transporting patients with spine injury. If the collars and immobilization devices are to be removed in controlled hospital environments, this should be accomplished when the stability of the injury is assured. Cervical collars and immobilization devices have been removed in some of the photos and videos to provide clarity for specific skill demonstrations. The American College of Surgeons, its Committee on Trauma, and contributing authors disclaim any liability, loss, or damage incurred as a consequence, directly or indirectly, of the use and application of any of the content of this 󰀱󰀰th edition of the ATLS Program.Advanced Trauma Life Support® and the acronym ATLS® are marks of theAmerican College of Surgeons.Printed in the United States of America.  Advanced Trauma Life Support® Student Course Manual Library of Congress Control Number: 󰀲󰀰󰀱󰀷󰀹󰀰󰀷󰀹󰀹󰀷 ISBN 󰀷󰀸-󰀰-󰀹󰀹󰀶󰀸󰀲󰀶󰀲-󰀳-󰀵  DEDICATION We dedicate the Tenth Edition of ATLS to the memory of Dr. Norman E. McSwain Jr. His dynamic, positive, warm, friendly, and uplifting approach to getting things done through his life’s work is a constant inspiration to those whose lives he touched. His tenure with the American College of Surgeons Committee on Trauma (COT) spanned almost exactly the same 󰀴󰀰 years of the ATLS course. Dr. McSwain’s time with the COT led him down a path where, without a doubt, he became the most important surgical advocate for prehospital patient care. He first worked to develop, and then led and championed, the Prehospital Trauma Life Support Course (PHTLS) as a vital and integral complement to ATLS. Combined, these two courses have taught more than 󰀲 million students across the globe. Dr. McSwain received every honor the COT could bestow, and as a last tribute, we are pleased to dedicate this edition of ATLS to his memory. The creators of this Tenth Edition have diligently worked to answer Dr. McSwain’s most common greeting: “What have you done for the good of mankind today?” by providing you with the Advanced Trauma Life Support Course, 󰀱󰀰th Edition, along with our fervent hope that you will continue to use it to do good for all humankind. Thank you, Dr. McSwain.  Sharon Henry, MDKaren Brasel, MDRonald M. Stewart, MD, FACS
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