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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5198_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •Foreword
- •Preface: Trauma as a Team Sport
- •Contents
- •History
- •Documented Outcomes
- •Future Direction
- •References
- •Humble Beginnings
- •A New Paradigm Is Born
- •References
- •3: Evidence Supporting Crisis Resource Management Training
- •Introduction
- •References
- •Introduction
- •The Trauma Team
- •Trauma Team Leadership
- •Crisis Resource Management
- •Observe, Orient, Decide, Act OODA Loop
- •Observe
- •Orient
- •Conclusion
- •References
- •Introduction: Why Does Teamwork Matter?
- •Introduction
- •Team Culture: Not Just Leaders; Followers Too
- •Crisis Communication 101
- •Conclusion
- •References
- •Background
- •Leadership Styles
- •Self-Awareness
- •Self-Management
- •Social Awareness
- •Relationship Management
- •Validation
- •Putting It All Together
- •References
- •7: Followership
- •Intro
- •What Is Followership
- •Why Is Followership Important?
- •Summary
- •References
- •Introduction
- •Situational Awareness
- •Situational Awareness: Level One
- •Situational Awareness: Level Two
- •Situational Awareness: Level Three
- •Attention
- •Stress
- •Conclusion
- •References
- •Handover Foundations
- •Handover Challenges
- •Handover Structure
- •Written Handover
- •Conclusion
- •References
- •10: Engaging Team Members
- •Respect
- •Resources
- •Engaging Virtual Teams
- •Virtual Water Cooler
- •Conclusion
- •References
- •Implicit Coordination
- •The Zero-Point Survey
- •Adaptive Coordination
- •Making It Happen
- •References
- •Acute Versus Chronic Stress
- •Recognizing Chronic Versus Acute Stress
- •Education Helps
- •Hyper-realistic Simulation Training
- •Resilience Is Individualized
- •Training Is Key
- •References
- •13: Stress Exposure Training
- •Introduction
- •Stress Training
- •Information Provision
- •Cognitive Control
- •Physiological Control
- •Overlearning
- •Mental Practice
- •Decision-Making
- •Team/Communication Skills
- •References
- •Introduction
- •Conclusions, Implications, Next Steps
- •References
- •15: Trauma Video Review
- •Introduction/What Is Trauma Video Review?
- •Team Simulation/Education
- •Performance Improvement
- •Research
- •Potential Barriers
- •Consent Processes
- •Other Considerations
- •Future Directions
- •Conclusion
- •References
- •Pre-arrival
- •Patient Arrival
- •Resuscitation
- •Pre-departure
- •Communication Skills
- •Structured Handovers
- •Conclusions
- •References
- •Origination
- •United States Prehospital System Legal Structure
- •Science Behind Prehospital Injury Patterns
- •Team Synergy vs Rock Star Player
- •Medical Errors
- •Controversy What Should Our System Implement
- •Training Quality
- •Active Killer
- •Realistic Training
- •Lessons Learned
- •Response
- •Nonmedical Personnel
- •Conclusion
- •References
- •Introduction
- •Future Direction
- •Conclusions
- •References
- •19: Prehospital Trauma
- •Introduction
- •Safety
- •Scene Assessment
- •Trauma Dynamics
- •Prehospital Ultrasound
- •Trauma Management: Tranexamic Acid (TXA) Administration
- •Conclusion
- •References
- •20: Transport Medicine
- •Introduction
- •The Trauma Clinical Network (TCN)
- •Direct Transport
- •Inter-hospital Transport
- •Emergency or Non-emergency Transportation
- •Monitoring During Transport
- •Conclusion
- •References
- •Introduction
- •Trauma Team Leader (TTL)
- •Airway
- •Respiratory Therapy
- •Emergency Medicine Physician
- •General Surgery
- •Orthopedic Surgery
- •Neurosurgery
- •Recording Nurse
- •Trauma Team Activation
- •The Trauma Bay
- •Trauma Team Function
- •Summary
- •References
- •22: Interprofessional Team Roles
- •References
- •23: The Trauma Bay Environment
- •Introduction
- •Surge Capacity
- •Decontamination
- •Communication
- •Control Center
- •Security Considerations
- •The Trauma Bay
- •Trauma Observation Unit Setup
- •Special Situations
- •Hybrid Operating Rooms
- •Conclusion
- •References
- •Introduction
- •Design
- •Formalizing Clinician-Designer-Builder Partnerships
- •A Human-Centered Approach
- •The Missing Link
- •Evidence-Based Design
- •Build
- •Train
- •Excel
- •Putting It Together
- •Summary
- •References
- •Introduction
- •Human Factor Analysis
- •Hybrid Operating Environment Lexicon
- •Summary
- •References
- •Introduction
- •Project Implementation
- •Results
- •Conclusion
- •Appendix A: Dam Tools Usability Testing Questionaire
- •References
- •Introduction
- •References
- •Introduction
- •Team-Based Principles
- •Continuous Improvement Processes
- •Conclusion
- •References
- •29: Trauma Resuscitation
- •Mechanisms
- •Neurologic Injury
- •Musculoskeletal Trauma Including Spine
- •Conclusions
- •References
- •30: Damage Control Resuscitation
- •Introduction
- •Massive Transfusion
- •Permissive Hypotension
- •Vascular Damage Control Techniques
- •Non-vascular Damage Control Techniques
- •Abdominal Compartment Syndrome
- •Open Abdominal Management
- •Damage Control Environments
- •References
- •Damage Control Part 1: Operative Intervention
- •Damage Control Part 2: Resuscitation
- •Damage Control Strategy Under Special Circumstances
- •Blast Injuries
- •Burns
- •Head Injury
- •Crush Injury
- •Conclusions
- •References
- •32: Trauma Team Decision-Making
- •Predictive Scores
- •Clinical Practice Guidelines (CPGs)
- •Trauma Team Leadership: Translating Decisions into Action
- •Future Directions: Toward High Reliability Organizing
- •Conclusions
- •References
- •33: Emergency Critical Care Procedures
- •Introduction
- •Airway Management
- •Tube Thoracostomy
- •Controversies
- •Antibiotics
- •Tube Selection
- •Occult Pneumothorax
- •Vascular Access
- •Peripheral Intravenous Access
- •Central Intravenous Access
- •Intraosseous Access
- •Ultrasound
- •Resuscitative Thoracotomy
- •Outcomes
- •Contraindications
- •Volume Expansion
- •Management
- •Diagnostic Peritoneal Lavage
- •Summary
- •References
- •Introduction
- •REBOA Programs
- •Partial REBOA
- •Intermittent REBOA
- •Vena Cava Occlusion
- •Tourniquets
- •Junctional Tourniquets
- •Abdominal Aortic Compression.
- •Hemostatic Agents
- •Topical Hemostatic Agents
- •Chemical Hemostatics
- •Physiologic Hemostatics
- •Hemostatic Dressings
- •Intra-abdominal Foam
- •Summary
- •References
- •What Is Interventional Radiology
- •Diagnostic Imaging Workup
- •Embolic Therapies
- •Gelfoam
- •Mural Repair
- •References
- •Non-verbal
- •Verbal
- •Wider Structural Perspective
- •Transferrable Solutions
- •Conclusion
- •References
- •Introduction
- •Pharmacotherapy
- •Paravertebral Block
- •Serratus Plane Block
- •References
- •Clinical Decision Support
- •Quality Improvement
- •Research
- •Trauma Systems
- •Conclusion
- •References
- •Outcomes
- •The Future
- •References
- •Introduction
- •Challenges
- •Provider Stress
- •Non-verbal Communication
- •Standardized Communication
- •Strategy 1: Scripted Procedures
- •Strategy 2: Structure Triage Tool
- •Conclusions
- •References
- •Introduction
- •Fetal Monitoring
- •Radiology
- •Conclusions
- •References
- •Introduction
- •Elderly Population
- •Psychiatric Comorbidities
- •Anticoagulated Patients
- •Conclusion
- •References
- •Introduction
- •Advanced Trauma Life Support (ATLS)—The Basics
- •Advanced TBI Guideline-Based Care
- •Noninvasive ICP/CPP Determination Methods
- •Brain Tissue Oxygen Monitoring (PbtO2)
- •Extracellular Brain Chemistry—Cerebral Microdialysis
- •Transcranial Doppler
- •Near-Infrared Spectroscopy
- •Continuous Electroencephalography (cEEG)
- •Cerebrovascular Reactivity Monitoring
- •Cerebral Compensatory Reserve
- •Individualized ICP Thresholds (iICP)
- •Integrating “Omics” into Acute Phase TBI Care—The Future
- •Conclusions
- •References
- •44: Basic Trauma Ultrasound
- •Introduction
- •The FAST Examination
- •Technique
- •Uses
- •Blunt Abdominal Trauma
- •Penetrating Trauma
- •Limitations
- •Summary
- •References
- •Introduction
- •Trauma Ultrasound Development
- •Pneumothorax
- •Musculoskeletal Ultrasound
- •Head Trauma
- •Contrast-Enhanced Ultrasound
- •Conclusions
- •References
- •Introduction
- •Imaging Modalities
- •Plain X-ray
- •Computed Tomography (CT) Scan
- •Other Modalities
- •Critical Thinking
- •References
- •Introduction
- •Initial Trauma CT Protocol
- •Iodinated Contrast Administration
- •Emergency Trauma MRI
- •References
- •48: Disaster Medicine
- •Natural or Man-made Disaster
- •The Disaster’s Cycle
- •Incident Command System
- •Triage
- •“Second Hit” Phenomenon
- •Conclusions
- •References
- •49: The Multi-casualty Trauma
- •Introduction
- •Historical Perspective
- •Prehospital Management
- •Triage
- •Pediatric Considerations
- •Intrahospital Management
- •Transfer Corridors
- •Blood Bank
- •Conclusions
- •References
- •Introduction
- •Crew Resource Management (CRM)
- •Resources
- •Review Process Including Logistics
- •Transactive Memory
- •Team Building (Before)
- •Team Performance (During)
- •Team Debrief (After)
- •Health
- •Fitness
- •Interagency Collaboration
- •Bystanders
- •Emergency Medical Services/Tactical EMS
- •Conclusions
- •References
- •Introduction
- •Improvised Explosive Device
- •Anti-police Violence
- •Improved Community Preparedness
- •Conclusions
- •References
- •Introduction
- •Procedures
- •Conclusions
- •References
- •Introduction
- •The MARCHE Algorithm Approach
- •Massive Hemorrhage Management (“M”)
- •Tourniquets
- •Wound Packing
- •Hemostatic Dressings
- •Junctional Tourniquets
- •Airway Management (“A”)
- •Respiration (“R”)
- •Circulation (“C”)
- •Vascular Access
- •Crystalloid
- •Hemostatic Resuscitation
- •Tourniquet Re-assessment
- •Hypothermia Prevention/Head Injury (“H”)
- •Hypothermia Management
- •Traumatic Brain Injury
- •Eye Injuries
- •Analgesia
- •Secondary Survey
- •Antibiotic Administration
- •Prolonged Field Care
- •Summary
- •References
- •Introduction
- •Hypothermia
- •Etiology
- •Pathophysiology
- •Lethal Triad (Diamond) Component
- •Treatment
- •Afterdrop
- •Resuscitation Progression
- •Prognosis
- •Team Dynamics
- •Conclusion
- •References
- •55: Burns
- •Incidence
- •Etiology
- •Prognosis
- •Initial Management: “ABCDE” Approach
- •Admission
- •Dressings
- •Nutrition
- •Multidisciplinary Recovery
- •Summary
- •References
- •War Zones
- •Casualty Care Team Preparation
- •Biological Weapons
- •Biological Warfare Historical Considerations
- •Personal Protective Equipment
- •Anthrax
- •Botulism Toxin
- •Conclusion
- •References
- •57: Nuclear Injuries
- •Introduction
- •Historical Background
- •Transportation
- •Hospital Care
- •Conclusions
- •References
- •Further Reading
- •Introduction
- •Historical Perspective
- •Parabolic Testing
- •Surgical Field Testing
- •Diagnostics
- •Immediate Damage Control Procedures
- •Conclusions
- •References
- •Introduction
- •Pandemic Impact
- •Financial Support
- •Conclusion
- •References
- •Introduction
- •Staff
- •Retraining/Reassignment
- •Consultants
- •Space/Structure
- •Trauma Bay
- •Operating Room
- •ICU or Floor
- •Clinic
- •Systems
- •Country Level
- •Regional Level
- •Hospital Level
- •Division or Trauma Team Level
- •Conclusion
- •References

LawrenceMarshallGillman·
SandyWidderEditors
Trauma Team
Dynamics
ATrauma Crisis Resource Management
Manual
SecondEdition

Trauma Team Dynamics

Lawrence MarshallGillman • Sandy Widder
Editors
Trauma Team Dynamics
A Trauma Crisis Resource Management
Manual
Second Edition 2025

Editors
Lawrence MarshallGillman
University of Manitoba
Winnipeg, MB, Canada
Sandy Widder
University of Alberta
Edmonton, AB, Canada
ISBN 978-3-031-86311-0 ISBN 978-3-031-86312-7 (eBook)
https://doi.org/10.1007/978-3-031-86312-7
© Springer Nature Switzerland AG 2016, 2025
This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or
part of the material is concerned, specically the rights of translation, reprinting, reuse of illustrations, recitation,
broadcasting, reproduction on microlms or in any other physical way, and transmission or information storage and
retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter
developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not
imply, even in the absence of a specic statement, that such names are exempt from the relevant protective laws and
regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed
to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty,
expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been
made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional afliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
If disposing of this product, please recycle the paper.

To our families, friends, and colleagues. None of this would be possible
without you.
—Lawrence M.Gillman

Foreword
Trauma, an enduring global challenge, continues to claim countless lives and inict immeasurable suffering. While signicant progress has been made in trauma care, with a proliferation of
worldwide training programs and the establishment of trauma systems in various nations, the
pivotal aspect of how trauma providers collaborate and care for critically injured patients
remains paramount.
Trauma resuscitation, which is inherently multidisciplinary and perpetually high-stakes,
hinges on the effectiveness of teamwork, communication, and coordination. Care of the multiply inured trauma patient is ever changing and the ability to accurately diagnose as well as
provide care to these patients is profoundly inuenced by the collaborative efforts of the trauma
team. It is indisputable that seamless cooperation among healthcare professionals can markedly enhance the quality of trauma resuscitation, directly impacting patient outcomes.
The exceptional compilation of chapters in this second edition of “Trauma Team Dynamics”
builds upon the foundations laid by its predecessor, and it brings fresh perspectives, insights,
and expertise to the eld of trauma resuscitation. The distinguished editors, recognized as
international leaders in their respective domains, have meticulously assembled a diverse
ensemble of acclaimed authors.
This collective effort culminates in what can be unequivocally hailed as a quintessential
textbook on trauma team dynamics. What sets this textbook and its associated course, STARTT
(Standardized Trauma and Resuscitation Team Training), apart is its unique focus on what has
traditionally been described as nontechnical skills. These skills, however, are absolutely essential for effectively coordinating and communicating with the diverse array of trauma providers,
which includes, but is not limited to, emergency medical providers, nurses, respiratory therapists, emergency department technicians, emergency room physicians, traumatologists, and a
host of different surgeons.
“Trauma Team Dynamics” and the associated STARTT course provide the essential groundwork for facilitating and enhancing trauma team dynamics, giving healthcare professionals the
tools and insights necessary to excel in their roles. This second edition will serve as an invaluable resource for healthcare providers, educators, and students alike, offering guidance and
inspiration as they navigate the complex landscape of trauma care. I believe that the wisdom
contained within these pages will foster an environment where every trauma resuscitation team
can truly excel, ultimately saving more lives and mitigating the impact of this relentless global
epidemic.
Departments of Surgery and Medicine
Schulich School of Medicine and Dentistry
Western University
London, ON, Canada
NeilG.Parry
vii

Preface: Trauma as a Team Sport
The American College of Surgeons Advanced Trauma Life Support (ATLS®) Course has revolutionized trauma care by offering a standardized, reproducible, and universal approach to
trauma patient management. ATLS® however focuses on management by a solo practitioner,
which is rarely the case in modern trauma care. The introduction of a trauma team, no matter
how small, brings with it new challenges and dynamics. To date no text (including the ATLS®
manual) has addressed the unique dynamics created by a multidisciplinary trauma team and
strategies to optimize them.
Further, morbidity and mortality reviews reveal that the majority of medical errors are nontechnical in nature, stemming from faulty decision-making, asynchronous information gathering, lack of situational awareness, and ineffective communication and team leadership.
Reviews of accidents from other high-risk industries, including the airline industry, have had
similar ndings. This led NASA (National Aeronautics and Space Administration) and the
airline industry to develop crew (now crisis) resource management (CRM) training. Medicine
has begun adapting this training especially within the realms of anesthesia and critical care.
Trauma surgery has been slower to utilize this work however simulation based training is
increasing in popularity. These team-based training strategies address “nontechnical” skills to
counteract human error and improve team and patient safety.
CRM is integral to the way that we manage ourselves, team members, and patients during
emergency situations. It is essentially the ability to translate knowledge of what needs to be
done into effective actions during a crisis situation. There are numerous publications on trauma
diagnosis, management, and treatment of injuries, but little literature exists on communication
within the trauma resuscitation, and how communication can be utilized to improve teamwork
and crisis management, and potentially improve patient resuscitation outcomes.
This book is in no way meant to replace ATLS® training, but instead build on ATLS® principles and highlight how they can be applied by a multi-disciplinary trauma team. This textbook represents a unique standalone reference for others trying to teach or learn these Trauma
Team Dynamics. Authored by an international group with a broad expertise in trauma, critical
care, emergency medicine, nursing, respiratory therapy, and pre-hospital care (including
NASA and United States military afliated experts), we feel it forms a comprehensive, multidisciplinary manual for all trauma team members including pre- and out-of-hospital personnel,
emergency and critical care physicians, trauma surgeons, nurses, and respiratory therapists, as
well as their respective trainees.
Part I highlights the history of CRM including its beginnings with NASA and the airline
industry, and its evolution to other high-risk industries including medicine. It goes on to introduce us to the guiding tenants of CRM and how they can be applied practically in a trauma
setting. These concepts continue to be woven throughout the text as we highlight the importance of CRM principles while following the trauma patient from the scene, through prehospital care and transport, to the trauma bay and nally to denitive care.
In Part II we discover the structure of the modern trauma team, including pre-hospital personnel, highlighting the roles of the various trauma team members and design of the typical
trauma bay. We also briey explore the logistics of trauma system design and important quality
control issues.
ix

x
Part III begins with a review of ATLS® and resuscitation principles and then offers a practical and comprehensive approach to damage control resuscitation not seen in other texts. It goes
on to discuss the complexities of trauma decision-making and ends with a practical highlight
of common trauma bay procedures.
Part IV stresses certain challenges in the trauma management of specic patient populations
including the pregnant patient, the head injured patient as well as the patient with multiple
medical comorbidities and the elderly.
In Part V we discuss conventional and point of care imaging in the trauma patient including
an in-depth look at basic and advanced trauma ultrasound, and new emerging techniques.
Part VI takes trauma to the battleeld, the mountain-top and beyond with discussions on
tactical and battleeld medicine, trauma in austere environments and even space. In the course
of this discussion we emphasize the unique challenges of chemical, biological, and nuclear
injuries and how these affect both the patient and the trauma team.
Finally, crisis resource management skills are best taught through a crisis simulation curriculum and therefore Part VII offers practical tips and guidance on CRM curriculum design,
debrieng, and evaluation.
It is our sincere hope that this text serves as a catalyst to improve communication in the
trauma bay, improve multidisciplinary training of team members, and ultimately improve
patient care. Trauma truly is a Team Sport and its time to nally teach it as such.
Winnipeg, MB, Canada LawrenceM.Gillman
Preface: Trauma as a Team Sport

Contents
Part I Trauma Team Preparation
1 A Culture of Safety: Evolution of the S.T.A.R.T.T. Course . . . . . . . . . . . . . . . . . . . 3
Lawrence Marshall Gillman, J. Damian Paton-Gay, Paul T. Engels,
and Sandy Widder
2 The Genesis of Crew Resource Management: The NASA Experience . . . . . . . . . 7
David J. Alexander
3 Evidence Supporting Crisis Resource Management Training . . . . . . . . . . . . . . . . 13
Christopher Hicks
4 Trauma Team Development: Leadership and Collaboration . . . . . . . . . . . . . . . . . 19
Brent Hunter and K. Dean Gubler
5 Improving Human Factors, Teamwork, and Communication
in Trauma Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Peter G. Brindley and Jocelyn M. Slemko
6 Introduction to Leadership: Self- Awareness and Self-Management . . . . . . . . . . . 33
David Kolthoff and Sandy Widder
7 Followership . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Jacqueline Beaumont and Lawrence Marshall Gillman
8 Situational Awareness and Human Performance in Trauma . . . . . . . . . . . . . . . . . 43
Peter G. Brindley and Jocelyn M. Slemko
9 Handovers in Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Michelle Au and Lawrence Marshall Gillman
10 Engaging Team Members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Mellissa Ward, Laura Morrison, Cheryl Ffrench, and Debrah Wirtzfeld
11 The Trouble with Teams: Practical Tools for Complex Trauma
Team Dynamics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Christopher Hicks and Andrew Petrosoniak
12 Biological and Psychological Interactions of the Stress Response:
How to Build Resilient Trauma Teams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Rebecca J. Ryznar, Christian Clodfelder, and Jeffrey Edwards
13 Stress Exposure Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Garrett G. R. J. Johnson and Anthony J. LaPorta
14 What Is Mindfulness, and What Role Can It Play in the Mental
Health of Health Professionals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
Rae Paulene Spiwak, Shaan Sareen, Natalie Mota, Justin Gawaziuk,
and Sarvesh Logsetty
xi

xii
15 Trauma Video Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Michael A. Vella, Ryan P. Dumas, Zaffer A. Qasim, Aekta Andrea Miglani,
and Daniel N. Holena
16 Creating a CRM Toolkit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Lawrence Marshall Gillman and Peter G. Brindley
Part II Trauma Team Design
17 Out-of-Hospital Care from Paramedical to Non-medical Personnel . . . . . . . . . . .121
Ryan Shelton and Matthew Brock
18 Trauma Point-of-Care Ultrasound in Prehospital
and Austere Environments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .133
Michael Kreiser, Seth Hill, Hunter Barnes, Ryan Shelton, and Amanda Toney
19 Prehospital Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
Michelangelo Bortolin and Jacopo M. Olagnero
20 Transport Medicine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
Michelangelo Bortolin and Jacopo M. Olagnero
21 Trauma Team Structure and Organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161
Eric Walser, Paul T. Engels, J. Damian Paton-Gay, Homer C. Tien,
and Patrick B. Murphy
Contents
22 Interprofessional Team Roles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171
Elaine Sigalet and Mirette Dubé
23 The Trauma Bay Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
Rondi Gelbard and Kenji Inaba
24 Trauma Bay Development and Design Designed to Perform:
How Simulation Can Inform the Design of Elite Trauma Resuscitation
Environments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .185
Andrew Petrosoniak, Frank Panici, and Christopher Hicks
25 Operating Room Setup and Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199
Chad G. Ball and Andrew W. Kirkpatrick
26 Systems-Focused Simulation and Debriefing to Improve Patient Safety,
Quality Care, Environments, and Processes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205
Mirette Dubé, Shaunna Milloy, Jennifer Jordan, Tona Laerz,
Sara Nosworthy, James Huffman, Jonathan Gaudet, Bryan Weber,
and Barbara Blackie
27 Quality Improvement and Trauma Quality Indicators . . . . . . . . . . . . . . . . . . . . . . 217
Nori L. Bradley and Sandy Widder
28 Putting It All Together: Quality Control in Trauma Team Training . . . . . . . . . . . 223
Corry J. Kucik, Polly A. Haskins, and William P. Mulvoy III
Part III Trauma Resuscitation
29 Trauma Resuscitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233
Paul M. Cantle and John B. Kortbeek
30 Damage Control Resuscitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243
Chad G. Ball
Соседние файлы в папке Библиотека им академика М.И. Перельмана
