“Many aspects of this unit of training will be closely linked with knowledge and skills covered in other units of training. The recommendations made here are therefore broadly stated. Increasingly anaesthetic trainees completing training as SpR 1/2 s will have taken part in a course in Advanced Trauma Life Support (ATLS or equivalent) which will have fulfilled the requirements of this unit of training. For those trainees that have not had this opportunity, it is suggested that this unit of training be modeled along similar lines”.

  1. Performance and interpretation of the primary survey
    1. Emergency airway management, oxygen therapy and ventilation
    2. Care and immobilisation of cervical spine
    3. Chest drain insertion and management: emergency relief of tension pneumothorax
    4. Establishing IV access: interosseous cannulation
    5. Assessment and management of circulatory shock
    6. Glasgow coma scale
    7. Recognition of need for appropriate investigations (Hb, cross-match, chest X-ray etc)
  2. Performance and interpretation of the secondary survey
    1. Peritoneal lavage
  3. Immediate specific treatment of life-threatening illness or injury, with special reference to thoracic and abdominal trauma
  4. Principles of the safe transfer of patients – Transfer of the traumatised patient including emergency airway and pain management
  5. Effects of trauma on gastric emptying
  6. Management of cervical spine injuries
  7. Immersion / drowning and near-drowning
  8. Management and stabilisation of the injured child (excluding neonates and infants) until senior help arrives
  9. Trauma scoring systems
  10. Major incident management, triage and anaesthesia in situations outside the hospital

Julius Cranshaw and Jerry Nolan
Airway management after major trauma

Richard P Dutton
Fluid management for trauma; where are we now?

Anton G Saayman and George P Findlay
The management of blunt thoracic trauma

David Lockey and Charles D Deakin
Pre-hospital trauma care: systems and delivery