International Trauma Life Support for Emergency Care Providers Paperback – 16 September 2015

• BRADY provides book-specific online resources for both learners and instructors including review questions, games, animations, case studies, additional trauma photos and much more! BRADY resources offers instructors a full complement of online supplemental teaching materials such as test banks and PowerPoint lectures to aid in the classroom. www.bradybooks.com Updates to student online resources include:

• • In “Additional Skills,” the use of the new FastResponderTM sternal IO has been added.
  • In “Multicasualty Incidents and Triage,” the discussion of various triage schemes has been expanded and now includes SALT Triage.
  • In “Role of the Medical Helicopter,” the data has been updated.
  • In “Trauma Scoring in the Prehospital Care Setting,” the CDC Trauma Triage Scheme is included.
  • The “Tactical EMS” bibliography reflects current thinking within the Hartford Consensus.
• Coverage of the latest and most effective approaches to the care of the trauma patient prepares readers to become effective emergency care providers. Conforms to the latest AHA/ILCOR guidelines for artificial ventilation and CPR.
• Dr. Roy Alson has joined Dr. John Campbell as co-editor in chief for this edition. Dr. Alson is a board certified EM and EMS physician with extensive experience in EMS care and education and has been a contributor to the ITLS text and course for over 25 years.
• Updated key terms, photos, drawings, and case presentations accompany each chapter to promote retention of key concepts. Many of the case presentations draw upon a single scenario so they reflect a realistic situation.

Chapter-by-chapter changes include:

• The Introduction explains the concept and importance of the “Golden Period”.
• In Chapter 1, the emphasis on scene safety continues to be a central component, as is the concept that trauma care is a team effort involving many disciplines. There is a discussion of the changes in response put forth by the Hartford Consensus.
• In Chapter 2, minor changes have been made in the assessment sequence based on feedback from ITLS instructors and providers. The importance of identifying and controlling at the start of the assessment is reinforced. As the leader performs the assessment, he or she will delegate responses to abnormalities found in the initial assessment. This is to reinforce the rule that the leader must not interrupt the assessment to deal with problems but must delegate the needed actions to team members. That emphasizes the team concept and keeps on scene time at a minimum. The order of presentation of the three assessments (ITLS Primary Survey, ITLS Ongoing Exam, and ITLS Secondary Survey) has been changed. The ITLS Ongoing Exam is performed before the ITLS Secondary Survey, a more common situation, and may replace it. The use of finger-stick serum lactate levels and prehospital abdominal ultrasound exams are mentioned as areas of current study to better identify patients who may be in early shock.
• Chapter 3 reflects the changes in Chapter 2.
• In Chapter 4, capnography is stressed as the standard for confirming and monitoring the position of the endotracheal tube as well as the best way to assess for hyperventilation or hypoventilation. The delivered volume of air with each ventilation now emphasizes the response of the patient (rise and fall of the chest) rather than a fixed volume amount.
• In Chapter 5, fiberoptic and video intubation are discussed as evolving technologies. Drug-assisted intubation is now included in this chapter, rather than in the appendix, because it is more commonly used. The key role of blind insertion airway devices (BIAD) in basic airway management is reinforced.
• In Chapter 6, a discussion of the indications for decompressing pericardial tamponade has been added, when such a procedure is in the emergency care provider's scope of practice. Also discussed is the use of ultrasound to identify such injuries and also to identify a pneumothorax.
• In Chapter 7, there is a revised discussion of needle decompression of the chest for a tension pneumothorax reflecting challenges faced by tactical EMS providers.
• In Chapter 8, the discussion of hemorrhagic shock has again been updated to reflect the latest experience of the military during the recent conflicts. A discussion of the role of tranexamic acid (TXA) in the management of hemorrhage has been added.
• Chapters 11 and 12 now reflect current science and published guidelines. There has been a complete revision of when to apply spinal motion restriction. In addition, the transport of a patient on a backboard is now discouraged. Included also is how to remove the patient from the backboard once placed on a transport stretcher. The standing backboard procedure has been eliminated.
• In Chapter 13, the use of finger-stick serum lactate levels and the use of prehospital abdominal ultrasound exams are mentioned.
• In Chapter 14, the discussion of management of bleeding from extremity injuries has been expanded, including discussion of hemostatic agents.
• In Chapter 15, procedures for use of a tourniquet and use of hemostatic agents have been expanded as well as discussion of pelvic binders for pelvic fractures.
• In Chapter 16, the use of Ringer’s Lactate as a resuscitation fluid in major burns is emphasized.
• Chapter 21 discusses the indications for termination of resuscitation for the trauma patient in the prehospital setting.
• Chapter 22 includes the latest recommendations for postexposure prophylaxis and an expanded section on emerging infections that pose challenges to emergency care providers.

John E. Campbell, MD, FACEP
Dr. Campbell received his BS degree in pharmacy from Auburn University in 1966 and his medical degree from the University of Alabama at Birmingham in 1970. He has been in the practice of Emergency Medicine for 40 years, practicing in Alabama, Georgia, New Mexico, and Texas. He became interested in prehospital care in 1972 when he was asked to teach a basic EMT course to members of the Clay County Rescue Squad. He is still an honorary member of that outstanding group. Since then, he has served as medical director of many EMT and paramedic training programs. He recently retired as the Medical Director for EMS and Trauma for the State of Alabama.

From the original basic trauma life support course developed an international organization of teachers of trauma care called “International Trauma Life Support, Inc.,” or ITLS. Dr. Campbell has served as its president since the inception of the organization.
Dr. Campbell is the author of the first edition of the Basic Trauma Life Support textbook and has continued to be the editor through to this new edition, now entitled International Trauma Life Support for Emergency Care Providers. He also is the coauthor of Homeland Security and Emergency Medical Response and Tactical Emergency Medical Essentials.

He was a member of the first faculty of Emergency Medicine at the School of Medicine, University of Alabama at Birmingham. In 1991 he was the first recipient of the American College of Emergency Medicine’s EMS Award for outstanding achievement of national significance in the area of EMS. In 2001 he received the Ronald D. Stewart Lifetime Achievement Award from the National Association of EMS Physicians. He is currently retired from clinical practice and resides on his farm in Montgomery, Alabama.

Roy L. Alson, PhD, MD, FACEP, FAAEM
Roy L. Alson is an Associate Professor of Emergency Medicine at the Wake Forest University School of Medicine and Director of the Office of Pre-hospital and Disaster Medicine at Wake Forest. He is also an Associate Professor at the Childress Institute for Pediatric Trauma at Wake Forest University. He received his bachelor’s degree from the University of Virginia in 1974 and both his PhD and MD from the Bowman Gray School of Medicine of Wake Forest University (1982, 1985). He completed his residency in emergency medicine at Allegheny General Hospital in Pittsburgh, Pennsylvania, and is board certified in both emergency medicine and emergency medical services by the American Board of Emergency Medicine.

His EMS career began in the early 1970s as an EMT in New York City. As a graduate student, Dr. Alson became a member of the Winston-Salem Rescue Squad and began working for the Forsyth County EMS as an EMT. Upon completion of his residency, Dr. Alson returned to Wake Forest University and the Forsyth County EMS system, serving as Assistant Medical Director for 14 years and Medical Director for the last 12 years. He remains actively involved in the education of EMS personnel.
Dr. Alson’s involvement with ITLS dates to the 1980s. He served as the North Carolina Chapter Medical Director for 15 years. Since the 1990s he has been a member of the editorial board for ITLS as well as a contributing author. With this edition, he joins Dr. Campbell as co-editor in chief.

Along with EMS, disaster medicine is an area of interest. Dr. Alson serves as the Medical Director for the North Carolina State Medical Response System (NC SMAT) program. He has served as the Chairman of the Disaster Preparedness and Response Committee for American College of Emergency Physicians, as well as a member of the EMS Committee for the American Academy of Emergency Physicians. He is the Chairman for the NAEMSP Disaster Preparedness Committee for 2014-16.
He has served with the National Disaster Medical System (NDMS) for 20 years, and is currently a member of the International Medical Surgical Response Team East (IMSURT—E). He previously served as the Commander and Deputy Commander for the North Carolina Disaster Medical Assistance Team (NC-DMAT-1), and as Deputy Commander of the National Medical Response Team East (NMRT East) teams, a division within the NDMS.

Dr. Alson has been a responder on dozens of nationally declared disasters. He is a subject matter expert in the delivery of care in austere and surge type conditions and has lectured nationally and internationally on prehospital trauma care and disaster medicine.

He and his wife Rebecca reside in Winston-Salem.