Spine and Spinal Cord Trauma
- New myotome diagram to evaluate injury level
- Canadian C-Spine Rule (CCR) and NEXUS Criteria
- Use ASIA score for Spinal injury
- Cervical spine protection changed to Restriction of Spinal Motion
Musculoskeletal Trauma
- Highlighting risk factor of bilateral femur fractures :
more blood loss, pul complications, multi organ failure
compared to unilateral femur fx
- Weight based IV antibiotics regime
Thermal Injury
Paediatric Trauma
- Pediatric Emergency Care Applied Research Network (PECARN)
Criteria for Head CT
- DOPE mnemonic
- Needle thoracocentesis unchanged 2nd ICS
- Limiting crystalloid resuscitation
Pediatric mass transfusion protocol :
Initial 20ml/kg bolus of crystalloid, followed by weight based blood product
with 10-20ml/kg pRBC, 10-20ml/kg FFP and plt.
http://decode-medicine.blogspot.tw/2017/12/atls-10.html?m=1
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