Wilderness and Rescue Medicine 7th Edition Jeffrey Isaac, PA-C and David E. Johnson, MD

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Wilderness and Rescue Medicine

Chapter 11 Review: General Principles of Trauma

• High-velocity rapid deceleration events are most likely to cause multi-system trauma. • Low-velocity, high-mass events are likely to cause only local injury. • Multiple trauma is a high-risk problem worthy of conscientious BLS and urgent evacuation to a hospital. • Maintaining normal body core temperature is a critical part of BLS for multiple trauma patients. • Multiple trauma complicated by environmental issues and preexisting problems can be confusing; remember the Generic to Specific Principle, and that critical systems come first. • Be cautious with fluid resuscitation if bleeding is not controlled.