Trauma, Burns and Surgical Critical Care

Trauma Organizations

1. American Association for the Surgery of Trauma, AAST Injury Score, Glasgow coma scale and Trauma scores; Sign-up for trauma-l Internet mailing list
2. Trauma.org began in 1996. It aims to provide accurate, current information about trauma, and provides an interactive forum for trauma care providers throughout the globe. It currently runs to about 3500 pages and it receives 1.2 million page hits a month from around 50,000 people in 90 countries.
A quick guide to the web site:
1. Trauma Bank gives an overview of the information available on the web site. There are sections on each aspect of trauma care.
2. Trauma-list mailing list has around 1600 members and around 3300 messages pass back & forth each year. Some of the more coherent discussions are archived on the web site, and all the messages are available to search (although they're a bit harder to find).
3. Image database where you can download images to use in presentations
4. Interactive trauma training where you can run basic trauma simulations; The pediatric, prehospital and neurotrauma are probably the best simulations. The trauma team leader decision scenarios test decision making skills.
5. Classic cases section for submission of cases of educational value (not esoterica) . They illustrate a particular mechanism, injury complex, management or surgical technique.
6. Resources section to search for trauma fellowships, medical student electives and jobs
7. The sitemap will also give you an idea of the scope of the web site and take you to wherever you may be interested.

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Trauma guidelines, protocols, algorithms, management discussions

1. Eastern Association for the Surgery of Trauma's practice guidelines
2. Jim Martindale's Trauma Links
3. Massive blood transfusion protocols google.com search
4. Scoring systems for ICU and surgical patients S.F.A.R. Société Française d'Anesthésie et de Réanimation (French Society of Anesthesia and Intensive Care)
5. Non-operative management liver trauma discussions from Trauma-list mailing list
6. Non-operative management innominate artery tear presented by Eric R Frykberg, M.D. University of Florida Jacksonville, Fl and discussed on Trauma-list mailing list

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Trauma and Emergency Text Books

1. Purchase Kenneth L. Mattox, David V. Feliciano (Editor) and Ernest Eugene Moore's Trauma book, at amazon.com or search for used books at abebooks.com
2. ACS Online at WebMD:
1. Trauma Resuscitation Frederick A. Moore, M.D., F.A.C.S. and Ernest E. Moore, M.D.
2. Injuries to the Central Nervous System Marike Zwienenberg-Lee, M.D., Kee D. Kim, M.D. and J. Paul Muizelaar, M.D., Ph.D.
3. Injuries to the Face and Jaw Seth Thaller, M.D., F.A.C.S. and F. William Blaisdell, M.D.
4. Injuries to the Neck David Wisner, M.D. and F. William Blaisdell, M.D.
5. Injuries to the Chest Asher Hirshberg , M.D. and Kenneth L. Mattox, M.D., F.A.C.S.
6. Injuries to the Liver, Biliary Tract, Spleen, and Diaphragm Jon M. Burch, M.D. and Ernest E. Moore, M.D., F.A.C.S.
7. Injuries to the Stomach, Duodenum, Pancreas, Small Bowel, Colon, and Rectum Charles E. Lucas, M.D., F.A.C.S. and Anna M. Ledgerwood, M.D., F.A.C.S.
8. Operative Exposure of Abdominal Injuries and Closure of the Abdomen Erwin R. Thal, M.D., F.A.C.S., Brian J. Eastridge, M.D., F.A.C.S. and Rusty Milhoan, M.D., F.A.C.S.
9. Injuries to the Great Vessels of the Abdomen David V. Feliciano, M.D., F.A.C.S.
10. Injuries to the Urogenital Tract Hunter Wessells, M.D., F.A.C.S. and Jack W. McAninch, M.D., F.A.C.S.
11. Injuries to the Extremities John T. Owings, M.D., F.A.C.S., James P. Kennedy, M.D. and F. William Blaisdell, M.D., F.A.C.S.
12. Burn Care in the Immediate Resuscitation Period Robert H. Demling, M.D., F.A.C.S.
13. Burn Care in the Early Postresuscitation Period Robert H. Demling, M.D., F.A.C.S.
14. Burn Care after the First Postburn Week Robert H. Demling, M.D., F.A.C.S
15. Miscellaneous Burns and Cold Injuries David Heimbach, MD, FACS and Nicole Gibran, MD, FACS
16. Rehabilitation of the Burn Patient Lee D. Faucher, M.D.

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3. University of New South Wales in Sydney, Australia Liverpool HANDBOOK OF TRAUMA CARE Hospital Trauma Manual 6th Edition ISBN 1 74079 027 8:
1. TRAUMA TEAM Members, Roles and Responsibilities
2. Pre-Arrival Preparation
3. TRAUMA TEAM Activation Criteria
4. Universal Precautions
5. Team and Resource Management
6. Multiple Trauma Patients / Disaster Response
7. Resuscitation Room Documentation
8. Pre-Hospital Information and Hand-over
9. Primary Survey
10. Adjuncts to Primary Survey
11. Secondary Survey
12. Adjuncts to Secondary Survey
13. Investigations
14. Priorities and Sequencing
15. Fluids


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16. Blunt Abdomen
17. Penetrating Abdomen
18. Widened Mediastinum
19. Penetrating Chest
20. Moribund Penetrating Chest
21. Penetrating Extremity
22. Penetrating Neck
23. Pelvic Fractures - Haemodynamic Instability
24. Cervical Spine Clearance
25. Suspected Spinal Cord Injury
26. Head Injury – Mild
27. Head Injury – Severe
28. Suspected Urethral Injury
29. Moribund Patient
30. MAST Suit Removal


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31. Extremity Immobilization
32. Spinal Immobilization
33. Venous Cutdown
34. Central Venous Catheters
35. Intraosseous Catheters
36. Arterial Lines
37. Chest Drains
38. Focused Abdominal Sonography in Trauma (FAST)
39. Diagnostic Peritoneal Aspiration (DPA)
40. Diagnostic Peritoneal Lavage (DPL)
41. ED Thoracotomy
42. Cricothyroidotomy
43. Pericardiocentesis
44. Medical Anti Shock Trousers (MAST)
45. Packing for Massive Nasopharyngeal Bleeding
46. Decision Making based on limited information
47. Goals in the second hour
48. Critical decision nodes


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49. Documentation of Definitive Care
50. Prioritisation of Procedures and Investigations
51. Consent
52. Admitting Doctor
53. Daily Patient Care and Follow-up
54. Tertiary Survey
55. Clinical Pathways
56. Thromboembolism and Tetanus Prophylaxis
57. Rehabilitation
58. Trauma Anaesthesia
59. Intra-Hospital Transfer
60. Transferring Patients out of Liverpool Hospital
61. Patient Disposition
62. Paediatrics
63. Pregnancy
64. The Elderly
65. Hypothermia
66. Burns

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4. State University New York at Stony Brook Trauma Manual:
1. Administrative Guidelines
1. Trauma Team Notification
2. Trauma Attending Notification of Transfers
3. Operating Room Notification
4. Admission and Triage of Adult Orthopedic Trauma
5. Code T Role Assignments
6. Resuscitation [Primary Survey / Secondary Survey]
2. Practice Guidelines
1. Autotransfusion
2. Blood and Blood Product Transfusion
3. Blunt Abdominal Trauma
4. Brain Injury
5. Burn Injury
6. Cardiac Arrest: Blunt Mechanism, Penetrating Mechanism
7. Cervical Spine Clearance
8. Chest Injury
9. Damage Control


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10. Deep Venous Thrombosis Prophylaxis
11. Eye Injury
12. Facial Injury
13. Fractures of Extremities
14. Hematuria
15. Laboratory Studies
16. Liver Injury
17. Neck Immobilization
18. Pediatrics
19. Pelvic Fractures
20. Penetrating Abdominal Trauma
21. Penetrating Injury of the Extremity
22. Penetrating Neck Injury
23. Quadriplegia or Paraplegia
24. Spine Injury
25. Spleen Injury
26. Temperature Control
27. Treatment Involved in Pregnancy
28. Urogenital Injury
29. Widened Mediastinum
30. X-rays

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5. Emedicine trauma online medical/surgical text, may require free registration to access
6. Emergency Medicine Reports Textbook of Adult and Pediatric Emergency Medicine

Trauma courses

1. American College of Surgeons lists ATLS courses and major trauma conferences
2. Jason Wolfe's ATLS notes

Pre-hospital management


1. New Jersey state adult Trauma Triage Protocol
2. New Jersey state pediatric Trauma Triage Protocol

Critical Care

1. Abdominal Compartment Syndrome
1. Abdominal compartment syndrome by Jeffrey Bailey and Marc J Shapiro Saint Louis University, St Louis, Missouri, USA Critical Care 2000, 4:23-29
2. Abdominal compartment syndrome by Marilyn J. Borst, M.D, Andrew B. Peitzman, M.D., Department of Surgery, University of Pittsburgh School of Medicine
3. University of Michigan including directions for measuring bladder pressures as a measure of intra-abdominal pressure
4. Abdominal Compartment Syndrome Pictures
1. Open abdomen Critical Care Forum
2. Bladder pressure intra-abdominal pressure monitoring set-up Medscape, a free site that requires registration
3. Trauma.org Damage Control Surgery with open abdomen photos
4. General and thoracic surgeon Felice Apicella's Laparostomia Photo Gallery, click on each photo to enlarge it
2. Pulmonary
1. ARDS Net
2. Mechanical Ventilation, Hospital Physician

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