Burns

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TEXTBOOK
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General Changes in All Chapters

• Case Studies have been added to each chapter
• The case study begins briefly at the first of the
  chapter and then is continued at the end of the
  chapter, followed by a discussion of the case
  study

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General Changes in All Chapters

• The words Spinal Immobilization have been
  replaced with Spinal Motion Restriction (SMR)
• Illustrations have been updated throughout the
  book.
• What was once, Pitfalls, Important Points,
  and Pearls, have all been consolidated into
  Pearls

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Chapter I
Scene Size-UpGeneral Changes Only
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Chapter II
Patient Assessment
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Patient Assessment

• No substantial change however
• Ongoing Exam moved in front of Detailed Exam
  since the Ongoing Exam will frequently replace
  the Detailed Exam in short transports.
• The Assessment Flow Sheet reflects above

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Chapter III
AssessmentSkills
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Assessment Skills

• Same change to Assessment Flow Sheet as chapter
  II

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Chapter IV
Airway Management
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Airway Management

• Capnography is introduced

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Chapter V
Airway Management Skills
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Airway Skills

• CO2 monitors are discussed
• Orotracheal intubation using the bougie is
  introduced as an option

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Chapter VI
Thoracic TraumaGeneral Changes Only
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Chapter VII
Thoracic Trauma SkillsGeneral Changes Only
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Chapter VIII
ShockGeneral Changes Only
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Chapter IX
Fluid Resuscitation Skills
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Fluid Resuscitation Skills

• Broselow Tape section has been changed to Length
  Based Resuscitation Tapes and includes both the
  Broselow Tape and the Standard Pediatric Aid to
  Resuscitation Card System (SPARC) used in Europe

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Chapter X
Head Trauma
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Head Trauma

• Rewritten and updated by
• John Campbell, M.D., F.A.C.E.P.
• Roy Alson, Ph.D., M.D., F.A.C.E.P.
• The reasons to hyperventilate a traumatic brain
  injured patient now follow Brain Trauma
  Foundation guidelines
• Based on clinical symptoms

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Head Trauma

• Hyperventilate a TBI patient after correction of
  hypoxia and hypotension when
• GCS lt 9 with extensor posturing (decerebrate)
• GCS lt 9 with asymmetric (or bilateral) dilated or
  nonreactive pupils
• Initial GCS lt 9 then drops by more than 2 points

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Chapter XI
Spinal Trauma
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Spinal Trauma

• Defined and clarified Emergency Rescue and
  Rapid Extrication
• Emergency Rescue patient or rescuers in danger
  of immediate death
  (use any method to remove)
• Rapid Extrication patient in danger of death
  within one or two minutes (extricate by Rapid
  Extrication Protocol)

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Chapter XII
Spine Management Skills
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Spine Management Skills

• Defined and clarified Emergency Rescue and
  Rapid Extrication and when to use them

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Chapter XIII
Abdominal TraumaGeneral Changes Only
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Chapter XIV
Extremity Trauma
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Extremity Trauma

• Added picture of a Kendrick traction device
• Discussed use of the new pelvic sling available
  from Sam Splints for unstable pelvic fractures

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Chapter XV
Extremity Trauma SkillsGeneral Changes Only
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Chapter XVI
BurnsAdded Lund and Browder Chart
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Chapter XVII
Trauma in ChildrenAdded SPARC System
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Chapter XVIII
Trauma in the ElderlyGeneral Changes Only
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Chapter IXX
Trauma in Pregnancy
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Trauma in Pregnancy

• Rewritten and updated by
• Walter Bradley, M.D.
• Added content on Domestic Violence and Trauma
  Prevention

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Chapter XX
Patients Under the InfluenceGeneral Changes Only
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Chapter XXI
Trauma ArrestGeneral Changes Only
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Chapter XXII
Blood and Body Substance Precautions
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Blood Body Substance Precautions

• Changed the name of chapter
• Rewritten and updated by
• Katherine West, BSN
• Added the term Blood/OPIM Blood and other
  potentially infectious material

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Blood Body Substance Precautions

• Identified body fluids that do and do not pose a
  risk for HBV, HCV and HIV
• Added a section on Tuberculosis due to current
  prevalence

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Appendix Chapters

• Unchanged

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SLIDES
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Slides

• Incorporated all text changes
• Updated format
• Added more real-life photos

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INSTRUCTOR GUIDE
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Instructor Guide

• New Case Scenarios
• EMS / Pre-hospital
• Nursing / Medical
• Occupational Health / Industry
• Military

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Instructor Guide

• New Grade Sheets
• Action Approach (Critical Important)
• Checklist Approach (Sequential)
• Upgraded Slide Reference
• Actual slides with speaker notes

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EVALUATION
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Evaluation

• Updated written evaluations for Basic
  Advanced levels
• Pre-test
• Post-test
• Supplemental
• Need for multiple versions?
• Feedback to Editorial Board welcome

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• This 25th Anniversary Edition is dedicated to
  John Emory Campbell, MD, FACEP, Founder,
  President, and Patriarch of Basic Trauma
  Life Support International.
• Dr. Campbells insight, initiative, and
  leadership have allowed us to reach out and
  spread trauma training around the globe. We
  have come far in 25 years yet have much to
  accomplish!