TAILIEUCHUNG - Surgical practice and fundamentals (Third edition): Part 2

(BQ) Continued part 1, part 2 of the document Surgical practice and fundamentals (Third edition) has contents: Assessment and early treatment of patients with trauma, fundamentals of thoracic surgery, fundamentals of endocrine surgery, surgical care of the paediatric patient,. and other contents. Invite you to refer. | Surgical practice and fundamentals (Third edition): Part 2 Section 5 Common Surgical Conditions Chapter Assessment and early treatment of patients 16 with trauma Ross Davenport and Nigel Tai Introduction some countries (. USA) is well-established but it has not yet been instituted nationwide in the UK. Trauma Trauma continues to be a leading cause of death and care in London was regionalized in April 2010 and a disability worldwide, and exceeds all other cause mor- UK national scheme is proposed within the next few tality combined in persons under the age of 36 years years. old. Globally each day 300 000 people are severely Trauma surgery requires rapid decision-making injured, with 10 000 trauma deaths. In the UK over with good technical ability and leadership skills. 17 000 people die each year from accident or injury, Involvement of a trauma surgeon begins at the point with approximately ten times as many incapacitated or of injury and finishes when recovery is complete. The permanently disabled. The socio-economic burden to so called ‘chain of survival’ is founded in pre-hospital the country as a whole is difficult to quantify although care and continues through resuscitation, surgery, crit- estimates for trauma care in the USA are in the region ical care and rehabilitation. Successful outcomes from of $500 billion per annum. The caveat to this is the trauma are dependent on good teamwork, rapid recog- cost of quality adjusted life years (QALYs) for injured nition of problems, early intervention and constant re- people, which are among the cheapest in healthcare. evaluation. Trauma patients are often young, fit and healthy with Over the past 20 years advances in trauma care good potential to return to a normal life providing they such as ‘damage control surgery’, improved resuscita- receive high-quality timely intervention to enable opti- tion strategies and the use of interventional .

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