Trauma Medicine

MEDICAL MATRIX Topic Editor Mark Felder Allen, MD

Resident in Emergency Medicine UCLA Medical Center President, Internet Health, Inc. Los Angeles, CA

News

• Trauma Watch
  A biweekly publication which fosters the use and exchange of information by trauma institutions to improve trauma care. PDF format. A product of the Trauma Information Exchange Program, a CDC-funded program of the American Trauma Society in collaboration with the Johns Hopkins Center for Injury Research and Policy.

Full Text / MultiMedia

• "Trauma" Powerpoint Lectures
  Powerpoint lectures from medical schools, medical societies, etc. collected by the Google search service.
• Burnsurgery.org
  Comprehensive, up-to-date educational articles for burn care professionals. Modules include initial management of the burn patient, the burn wound, wound healing, nutrition, pulmonary problems, and technological advances.
• Disaster and Trauma Resource Center at Medscape
  A regularly updated collection of Medscape's key clinical content including news, conference summaries, articles, treatment updates, clinical management modules, Medline and Cochrane abstracts, practice guidelines, and links to professional organizations.
• Medical Management Of Biological Casualties Handbook
  Covers patient isolation precautions, BW agents, sample collection, differential diagnosis, and contacts. Published in February 2001 by the U.S. Army Medical Reseach Institute of Infectious Diseases.
• Trauma Reports
  Articles covering current issues in Trauma.
• Wounds
  REG Articles cover surgical techniques, clinical studies and trials of wound care dressings and support surfaces, laboratory studies on biology and pathology of acute and chronic wounds. Published by Health Management Publications, Inc. and presented online by Medscape, Inc. Free registration.
• Chinese Journal of Traumatology
  An archive of free full text journal articles. Change the year in the search window for alternate years. Chinese Medical Association.

Journals

• The Journal of Trauma - Injury, Infection, and Critical Care
  $  REG Articles which focus on the management of traumatic injury. Official publication of the Eastern Association for the Surgery of Trauma. This journal is considered to be a "Brandon Hill" essential resource fro medical libraries. Medline citations: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&term=%22J+Trauma%22[Jour]. Fee registration for full text. Lippincott Williams & Wilkins.
• International Journal of Trauma Nursing
  $  REG Peer-reviewed clinical articles, original reports, editorials, and CE articles related to trauma care. Articles are online from 1997 to the present. Pay-per-view access is available.. Sponsored by the Trauma Nursing Coalition. Medline citations: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&term=%22J+Trauma+Nurs%22[Jour]. Fee registration for full text. Free abstracts. Mosby.

Textbooks

• 1994 Trauma Handbook
  Offers synopses of the critical management steps of the trauma patient. Chapters include "Chest injury" and "Blunt abdominal Trauma". The Liverpool Hospital.
• Book of Orthopaedics and Traumatology (India)
  A textbook-style reference that covers general orthopedics, developmental disorders of bones, infections, regional conditions, fractures, bone diseases, joint diseases, tumours, and soft tissue injuries. Dr. Mayil Vahanan Natarajan, Professor of Orthopaedic Surgery, Madras Medical College, India.
• Combat Casualty Care Guidelines (1991)
  A survey of the techniques for caring for combat casualties before, during, and after surgery, updated from the lessons learned from the Vietnam War that were published but not widely disseminated in 1970. In preparation for the first Persian Gulf War, experts at Walter Reed Army Medical Center, Washington, DC, updated the sources document in 1991. The bound, photocopied booklet is available in hard copy from the Borden Institute.
• eMedicine World Medical Library - Trauma
  $  REG Constantly-updated and carefully-edited online multimedia textbooks in various specialties. This web project presents disease synopses with clinical and physical findings, etiology, pathophysiology, symptoms, differential diagnosis, and treatment options. Emedicine offers post-tests for CME credit; a typical fee is $7.50 per credit hour. Emedicine, Inc. Fee registration for full text.
• Primary Trauma Care Manual
  A trauma management course aimed at training doctors and health workers win the United Kingdom. Covers accurate assessment, resuscitation and stabilization, and organization of basic hospital trauma care. World Federation of Societies of Anaesthesiologists.
• The Emergency War Surgery NATO Handbook
  A handbook that covers the management of war related injuries and relevant medical therapies and surgical procedures. This is the second United States revision which was published in 1988. Presented online by the University of Iowa's Virtual Naval Hospital.
• Trauma Handbook at SUNYSB
  A textbook-style reference, directed to practitioners at SUNYSB, that covers trauma team protocols regarding transfers, orthopedics, resuscitation, transfusion, abdominal trauma,cervical spine clearance, facial injury, pediatrics, spleen injury, pregnancy, etc. University Hospital and Medical Center at Stony Brook.
• The Medical Implications of Nuclear War
  The papers presented in this textbook are a comprehensive and authoritative review of health-related issues associated with nuclear war. Institute Of Medicine of the National Academy Of Sciences

Major Sites / Home Pages

• Trauma Org
  A physician-maintained metasite of case presentations, radiology images, mailing list communications, articles, and practice scenarios that disseminates knowledge about the practice of injury prevention and trauma care. Presents an interactive forum for trauma care providers.
• American Trauma Society
  A public education/awareness association, with appoximately 2,700 members, which include physicians, nurses, emergency medical technicians, etc. This non-profit organization is dedicated to the improvement of trauma care. The website offers a calendar of events and resources for trauma prevention.
• The Orthopaedic Trauma Association
  An educational & scientific society dedicated to the discovery and dissemination of knowledge & information regarding the care & treatment of injuries to the musculoskeletal system.
• Trauma Education
  Education materials that include cases, xray images, procedures, and a handbook that presents a review of critical issues in the management of the trauma patient. Liverpool Hospital.

Procedures

• Major Burn Care in the Emergency Department
  Clinical notes include coverage of assessment, airway injuries and fluid resuscitation. California Emergency Nurses Association.
• Trauma Procedures
  Brief descriptions with graphics of a few common procedures such as cricothyroidotomy. Liverpool Hospital.

Practice Guidelines / FAQs

• Edinburgh Orthopaedic Trauma Protocol Registry
  A ongoing compendium of trauma protocols on the Internet collected to assist in the development of online guidelines for care of the trauma patient.
• Trauma Practice Guidelines at EAST
  Trauma and surgical critical care practice guidelines. A title is "Prophylactic Antibiotics in Penetrating Abdominal Trauma". Text and PDF format. Eastern Association for the Surgery of Trauma .
• Trauma Team Emergency Protocols
  Guidelines for prehospital care, standing orders, and medications. Covers IV therapy, endotracheal intubation, shock, syncope, etc.
• Burn Management
  First aid and ER department protocol for electrical, chemical, closed space and general burns. Virtual Naval Hospital.
• National Guidelines for Trauma Care
  REG Recommended guidelines for traumatic injury care. Included are components for pre-hospital, hospital, information and prevention. Free registration. American Trauma Society.

Images, X-Ray

• Emergency Body CT
  Orients the user to the principles of abdominopelvic CT in the emergent setting. The axial anatomy of this area is reviewed in an interactive way. Technique for the exam is also discussed. A systematic review covers for the CT findings of major pathology associated with the acute abdomen. A final quiz is provided for self-testing. University of Virginia.
• Trauma X-Ray Collection at Liverpool
  Images of key trauma x-rays maintained by Liverpool Hospital.

Directories

• Trauma Protocols Resources at New York Emergency Room RN
  A directory of weblinks regarding trauma medicine protocols.

Educational Materials

• ABC's of Trauma Management
  An archived slideshow lecture on a core topic in surgery practice. This program is part of an International telemedicine project sponsored by NASA and the Medical Informatics and Technology Applications Consortium. The presentation may require the RealPlayerG2 plugin. Rifat Latifi, M.D., Division of General / Trauma Surgery 2/02.
• Ambulatory Management of Burns from the AFP
  A systematic approach to burn care, published in the American Family Physician in 2000, that focuses on the six "Cs": clothing, cooling, cleaning, chemoprophylaxis, covering and comforting (i.e., pain relief). American Academy of Family Physicians.
• Stabilization of Trauma in the ER
  Outline text on trauma: cervical spine, the airway, assessment of circulation, neuro exam, intubation, pelvic organ injury. This is an abreviated version of a medical manual that accompanies a well-illustrated computer program produced in 1996 by Mad Scientist Software.
• Traumabank
  A repository for educational materials on injury prevention, prehospital care, organ specific injury, and trauma anesthesia and intensive care.
• SAGE II Computerized Burn Diagramming
  REG This free online program calculates the % burn for 35 body areas and graphically documents wound and treatment areas. A more advanced program is available to subscription users. Free registration. Philip P. Parshley.
• Burn Treatment Information from the B.C. Burn Network
  Concise information directed to the members of the burn treatment team to help in the assessment and management of minor and major burns prior to transfer to a specialized facility. 1992.
• Trauma Alert Criteria
  Trauma lecture notes from the Department of Surgery, Ohio State University.
• Trauma Scoring Tables at AAST
  Tables that describe organ injuries based on tissue depth, affected organs, vascular compromise, etc American Association for the Surgery of Trauma.

Forums

• ORT-L Orthopaedic Trauma Mail List
  Listserv for electronic distribution of the Orthopaedic Trauma Association newsletter as well as discussion of related issues. Orthopedic Trauma Association.
• Trauma-L Trauma and Emergency Surgery Mail List
  Offers discussions and communications for trauma caregivers. The American Association for the Surgery of Trauma. Dr. Ernie Block.
• Trauma-List Mail List
  A multidisciplinary list covering all aspects of trauma care and injury prevention. Membership is 600 plus. Selected discussions are archived. Karim Brohi, MD.