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| The primary directives | |
| Anxiety provokes memory loss: so learn a system and stick to it | |
| All 4 one and one for all | |
| Civilian and military trauma care is different | |
| Preparation | |
| Any time preparing is time well spent | |
| If in doubt, call the Trauma Team | |
| Save yourself before the casualty | |
| The Team Leader is always right | |
| Approach to the patient | |
| Assume the worst and proceed accordingly | |
| Read the wreckage | |
| Do a frisk or take a risk | |
| Don't let the obvious distract from the occult | |
| The Trauma Team can only look or listen, not both | |
| Initial assessment and resuscitation | |
| Tourniquets save lives | |
| If the bleeding is dramatic, use a novel haemostatic | |
| If you decide to crack the chest, survival's almost nil at best | |
| The airway is more important than the cervical spine | |
| When NEXUS guidelines clear the spine, the spinal board's a waste of time | |
| All trauma patients are dying for oxygen | |
| It is not lack of intubation that kills, it is lack of oxygenation | |
| Do not delay with a burned airway | |
| Think of cricothyrotomy when all else fails | |
| Look at the neck TWELVE times in the primary survey | |
| A hard collar does not protect the cervical spine | |
| All Trauma surgeons Occasionally Miss Cervical Fractures | |
| When patients with facial injuries look up at heaven they will soon be there | |
| Blood on the floor is lost forever more | |
| Short and thick does the trick | |
| Hidden blood loss will CRAMP your resuscitation | |
| Surgery does not follow resuscitation, it is part of resuscitation | |
| The stabbed stay stabbed until they reach theatre | |
| O Negative is good, but you can have too much of a good thing | |
| An injury above and below the abdomen implies an injury in the abdomen | |
| A penetrating wound below the nipple involves the abdomen | |
| Examination of the abdomen is as reliable as flipping a coin | |
| Neurogenic shock is hypovolaemic shock until proved otherwise | |
| Think of the causes of PEA or your patient is for THE CHOP | |
| Respiratory rate is the most sensitive indicator of deterioration, but nurses record TP not TPR | |
| Head injury alone does not cause hypotension | |
| Resuscitate the mother and the baby will look after itself | |
| Children are not small adults | |
| Everyone is equal, but some are more equal than others | |
| Limb splintage is part of resuscitation | |
| The Glasgow Coma Scale does not measure prognosis | |
| A patient has a front, a back, two sides, a top and a bottom | |
| Put a finger in before putting a tube in | |
| The agitated patient will calm down while deteriorating | |
| You are not dead until you are death warmed up | |
| The golden rule is golden fluid in the golden hour | |
| It doesn't hurt to give analgesia | |
| Investigation and definitive care | |
| The golden hour belongs to the patient | |
| You can assess vision with the eyes closed | |
| You may read the newspaper, but you cannot read the DPL | |
| FAST procedure, quick decision | |
| A tension pneumothorax cannot be diagnosed on a chest X-ray | |
| A supine chest X-ray may be worse than no chest X-ray at all | |
| Investigation must never impede resuscitation | |
| Serial blood gases are the signposts on the road to resuscitation | |
| Patients are transferred, not their injuries or investigations | |
| Never believe a transferring hospital | |
| Better a negative laparotomy than a positive postmortem | |
| Go down the middle and be liberal | |
| Fix the pelvis to fix the bleeding | |
| Biology is the mother of all fixation | |
| The solution to pollution is dilution | |
| It doesn't pay to be complacent about an elderly fracture of the rib | |
| A missed tertiary survey is a missed injury | |
| With multiple casualties do the most for the most | |
| Black is beautiful, and some things are never as black as they seem | |
| Predicting survival is hit and miss with ISS and TRISS | |
| Stop the clot before it stops the patient | |
| The last rule Death is the only certainty in life | |
| Reader's rules | |
| Table of Contents provided by Publisher. All Rights Reserved. |
