ATLS Advanced Trauma Life Support (American College of Surgeons ) -10판

We dedicate the Tenth Edition of ATLS to the memory of Dr. Norman E. McSwain Jr. His dynamic, positive, warm, friendly, 
and uplifting approach to getting things done through his life’s work is a constant inspiration to those whose lives 
he touched. 
His tenure with the American College of Surgeons Committee on Trauma (COT) spanned almost exactly the same 40 years of 
the ATLS course.

Dr. McSwain’s time with the COT led him down a path where, without a doubt, he became the most important surgical 
advocate for prehospital patient care. 
He first worked to develop, and then led and championed, the Prehospital Trauma Life Support Course (PHTLS) as a vital 
and integral complement to ATLS. Combined, these two courses have taught more than 2 million students across the globe.

Dr. McSwain received every honor the COT could bestow, and as a last tribute, we are pleased to dedicate this 
edition of ATLS to his memory. 
The creators of this Tenth Edition have diligently worked to answer Dr. McSwain’s most common greeting: 
“What have you done for the good of mankind today?” by providing you with the Advanced Trauma Life Support Course, 
10th Edition, along with our fervent hope that you will continue to use it to do good for all humankind. 
Thank you, Dr. McSwain.

Sharon Henry, MD
Karen Brasel, MD
Ronald M. Stewart, MD, FACS



Foreword v
Preface vii
Acknowledgments xv
Course Overview xxix

CHAPTER  1 Initial Assessment and Management        2

CHAPTER  2 Airway and Ventilatory Management       22

CHAPTER  3 Shock                                   42

CHAPTER  4 Thoracic Trauma                         62

CHAPTER  5 Abdominal and Pelvic Trauma             82

CHAPTER  6 Head Trauma                            102

CHAPTER  7 Spine and Spinal Cord Trauma           128

CHAPTER  8 Musculoskeletal Trauma                 148

CHAPTER  9 Thermal Injuries                       168

CHAPTER 10 Pediatric Trauma                       186

CHAPTER 11 Geriatric Trauma                       214

CHAPTER 12 Trauma in Pregnancy and Intimate
           Partner Violence                       226

CHAPTER 13 Transfer to Definitive Care            240

APPENDICES                                        255

APPENDIX A: Ocular Trauma                         257

APPENDIX B: Hypothermia and Heat Injuries         265

APPENDIX C: Trauma Care during Mass-Casualty,
            Austere, and Operational Environments  275

APPENDIX D: Disaster Preparedness and Response    289

APPENDIX E: ATLS and Trauma Team
            Resource Management                    303

APPENDIX F: Triage Scenarios                      317

APPENDIX G: Skills                                335

INDEX                                             376