* An essential text providing a team-based structure for the delivery of optimum trauma care
? Offers advice on how to get the best out of staff working in the unpredictable, often stressful environment of the trauma unit
? Features real-life case studies focusing on the experience of the patient
? Written by practising clinicians drawn from a variety of disciplines
? Aimed at undergraduate students, practitioners in trauma and community care, and postgraduate specialists
Acknowledgements
Contributors
Preface
Pt. I
The patient's experience of trauma
1
1
What is trauma?
3
2
Fracture healing and principles of fracture management
13
3
The physiological effects of trauma
26
4
The psychological effects of trauma
35
5
The causes and effects of trauma - the child
43
6
The causes and effects of trauma - the young adult
52
7
The causes and effects of trauma in mid-life
64
8
The causes and effects of trauma - the older person
71
Pt. II
The continuum of trauma care
83
9
The Injury Minimization Programme for Schools
85
10
Pre-hospital assessment and treatment
95
11
The 'golden hour'
103
12
Principles of trauma care in intensive care
115
13
Complications of trauma
126
14
Rehabilitation
137
15
Trauma and mental health
147
Pt. III
The needs of the injured person
163
16
Diagnostic investigations in trauma
165
17
The impact of trauma on the respiratory system
177
18
Pain management
185
19
Nutrition
199
20
Tissue viability, wound assessment and infection control
207
21
Elimination
223
22
Hygiene and mouth care
230
23
Casts, splints and traction
239
24
Moving and handling
252
25
The consequences of altered body image following trauma
262
26
Communication - the foundation of successful care
270
Pt. IV
Role clarification and teamwork
277
27
The role of the primary nurse in managing care
279
28
Physiotherapy following injury
290
29
The role of the occupational therapist in trauma care
298
30
Collaborative practice
310
31
Discharge planning
323
Pt. V
Political, environmental and organizational issues
331
32
Trauma Centres or Trauma Systems?
333
33
Leadership in the context of acute care
340
34
Strategic and operational issues in service delivery
348
35
Creating the optimum learning environment
359
36
Risk Management
368
37
Legal Issues
377
The hospital series (poems from the John Radcliffe Hospital, Oxford)
385
Index
389