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Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Year: 2013, vol. 19, issue 2
Subject Collection: Oral and Dental Medicine
Pages: 282-285
DOI: 10.5272/jimab.2013192.282
Published online: 22 March 2013
J of IMAB 2013; 19(2):282-285
MAXILLOFACIAL TRAUMA MANAGEMENT IN POLYTRAUMATIZED PATIENTS – THE USE OF ADVANCED TRAUMA LIFE SUPPORT (ATLS) PRINCIPLES.
Elitsa G. Deliverska
, Lachesar P. Stefanov
Department of Oral and Maxillofacial Surgery, Faculty of dental medicine - Sofia, Medical University, Sofia, Bulgaria.
ABSTRACT:
Management of the multiply injured patient requires a co-ordinated multi-disciplinary approach in order to optimise patients’ outcome. A working knowledge of the sort of problems these patients encounter is therefore vital to ensure that life-threatening injuries are recognised and treated in a timely pattern and that more minor associated injuries are not omitted. This article outlines the management of polytraumatized patients using the Advanced Trauma Life Support (ATLS) principles and highlights the areas of specific involvement of the engaged medical team. Advanced Trauma Life Support is generally regarded as the gold standard and is founded on a number of well known principles, but strict adherence to protocols may have its drawbacks when facial trauma co-exists. These can arise in the presence of either major or minor facial injuries, and oral and maxillofacial surgeons need to be aware of the potential problems.
Key words: ATLS, fractures, maxillofacial, trauma.
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Please cite this article as:
Deliverska EG, Stefanov LP. Maxillofacial trauma management in polytraumatized patients – the use of Advanced Trauma Life Support (ATLS) principles. J of IMAB. 2013; 19(2):282-285. doi:10.5272/jimab.2013192.282
Correspondence to: Elitsa Georgieva Deliverska, Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Medical University - Sofia. 1, St. Georgi Sofiiski boul., 1431 Sofia, Bulgaria;
REFERENCES:
1. American College of Surgeons Committee on Trauma (2004) Advanced trauma life support program for doctors, 7th edn. American College of Surgeons, Chicago.
2. American College of Surgeons Committee on Trauma Advanced trauma life support program for doctors, 6th edn. American College of Surgeons, Chicago.
3. Carmont MR. The Advanced Trauma Life Support part1 course: a history of its development and review of related literature. Postgrad Med J. 2005 Feb;81(952):87–91. [PubMed] [CrossRef]
4. Grover RS, Antonyshyn OM. (iv) Care of maxillofacial injuries in multiple trauma. Orthopaedics and Trauma. 2003 Aug;17(4)274-286
5. Perry M. Advanced Trauma Life Support (ATLS) and facial trauma: can one size fit all? Part 1: dilemmas in the management of the multiply injured patient with coexisting facial injuries. Int J Oral Maxillofac Surg. 2008 Mar;37(3):209-14. [PubMed] [CrossRef]
6. Perry M, Morris C. Advanced trauma life support (ATLS) and facial trauma: can one size fit all? Part 2: ATLS, maxillofacial injuries and airway management dilemmas. Int J Oral Maxillofac Surg. 2008 Apr;37(4):309-20. [PubMed] [CrossRef]
7. Simpson P, Keating JF.The multiply injured patients, Acute trauma, The foundation years 4:8, Published by Elsevier Ltd. 2008; p.314-318
8. Head Injury: triage, assessment, investigation and early management of head injury in infants, children and adults. National Collaborating Centre for Acute Care. Guideline commissioned by the National Institute for Clinical Excellence; June 2003; http://www.nice.org.uk/nicemedia/pdf/headinjury_full_version_completed.pdf
Received: 14 January 2013
Published online: 22 March 2013