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Trauma Team Dynamics

A Trauma Crisis Resource Management Manual
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Lawrence M. Gillman
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This is the first book exploring the unique dynamics created by a multidisciplinary trauma team and how crisis management strategies can improve teamwork and communication and, potentially, improve patient resuscitation outcomes. 

Crisis resource management (CRM) is integral to the way that we manage ourselves, team members, and patients during emergency situations.  It is essentially the ability to translate knowledge of what needs to be done into effective actions during a crisis situation.  Building on the revolutionary American College of Surgeons Advanced Trauma Life Support (ATLS®) course, Trauma Team Dynamics illustrates the integration of the principles of CRM to team dynamics throughout the resuscitation –from the scene, through pre-hospital care and transport, to the trauma bay, and finally to definitive care and beyond.    

The editors and contributors are international experts in trauma, critical care, emergency medicine, nursing, respiratory therapy, and pre-hospital care and include NASA- and United States military-affiliated experts.  Trauma Team Dynamics is intended for use as both a day-to-day clinical resource and a reference text, and includes self-assessment questions as well as guidance on CRM curriculum design and implementation.



Foreword by Ernest E. Moore



Part 1: Trauma Team Preparation

1. The Genesis of Crew Resource Management: The NASA Experience                                                               

David Alexander


2. Crisis Resource Management Training in Trauma

Christopher M. Hicks


3. Leadership Theories, Skills and Application

Sandy Widder, David Kolthoff, and Peter Brindley


4. Teamwork and Communication in Trauma

Peter Brindley


5. Situational Awareness and Human Performance in Trauma

Peter Brindley and Arthur Tse



Part 2: Trauma Team Design

6. Paramedical and Non-medical Personnel

Sunil Sookram and Arthur Tse


7. Transport Medicine

Sunil Sookram and Alison Kabaroff


8. Trauma Team Structure and Organization

Paul T. Engels, J. Damian Paton-Gay, and Homer C. Tien


9. Interprofessional Trauma Team Roles

Elaine Sigalet and Mirette Dube


10. The Trauma Bay Environment

Rondi Gelbard and Kenji Inaba


11. Quality Improvement and Trauma Quality Indicators

Nori L. Bradley, Selena Au, and Sandy



12. Putting it all Together: Quality Control in Trauma Team Training

Corry J. Kucik and Polly A. Haskins



Part 3: Trauma Resuscitation

13. Trauma Resuscitation

John Kortbeek


14. Damage Control Resuscitation

Chad Ball


15. Damage Control─From Principles to Practice

Lisa Schlitzkus, Michael Van Vliet, and Heidi Frankel  


16. Trauma Team Decision Making

Morad Hameed and Larissa Roux


17. Emergency Critical Care Procedures

Paul B. McBeth and Morad Hameed



Part 4: Specialized Trauma Populations

18. Trauma in the Pediatric Patient

Mahmoud ElBarbary, B. J. Hancock, and Melanie Morris,


19. Trauma in Pregnancy

Lua R. Eriksson and Paul T. Engels


20. Medical Comorbidities and Trauma

Harvey G. Hawes and John B. Holcomb



Part 5: Emergency Ultrasound and Trauma Imaging

21. Basic Trauma Ultrasound

Markus Ziesmann, Andy W. Kirkpatrick,  Nova L. Panebianco, and Lawrence M. Gillman 


22. Trauma Ultrasound: Beyond the FAST Examination

Mike Blaivas, Ashot E. Sargsyan, and Dimitrios Karakitsos


23. Telemedicine and

Future Innovations

C.J. Kucik and J. Jonas Carmichael


24. Imaging in the Stable Trauma Patient

Bradley S. Moffat and Neil G. Parry



Part 6: Tactical Emergency and Disaster Medicine

25. Disaster Medicine

Michelangelo Bortolin and Gregory R. Ciottone


26. The Multi-Casualty Trauma

Daniel Roizblatt, Amin Madani, Tarek Razek, and Kosar Khwaja


27. Critical Incident Team Dynamics and Logistics

Brian P. Smith, Jonathan Mulhern, Kevin Glenn, Lewis J Kaplan


28. Terrorism and Urban Trauma

Steven R. Allen, Kevin Glenn, Jonathan Mulhern, Lewis J Kaplan


29. Tactical Emergency Medicine, Procedures and Point-of-Care Evaluation in Austere Environments

Michael Blaivas , Ashot E. Sargsyan and Dimitrios Karakitsos


30. Trauma in Austere Environments - Cold Injury and Hypothermia

Mansoor Ali Khan and Heidi Frankel


31. War Zones and Biologic Warfare

Jason D. Heiner and Peter Moffet


32. Nuclear Injuries

Mansoor Ali Khan and Heidi Frankel


33. Trauma and Surgical Capabilities for Space Exploration

David Alexander



Part 7: Trauma Team Education

34. Designing a Simulation Curriculum

Jason Park, Reagan L. Maniar, and Ashley S.



35. Designing Multidisciplinary Simulations

Peter Brindley, J. Damian Paton-Gay and Lawrence M. Gillman


36. Constructive Debriefing for Trauma Team Education

Adam Cheng, Vincent Grant and Naminder Sandhu


37. Program Evaluation and Assessment of Learning

Vicki R. LeBlanc and Walter Tavares


38. Teaching Technical and Procedural Skills

Jameel Ali


39. Multiple Choice Review Questions

Sandy Widder and Lawrence Gillman


Appendix A

Appendix B