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Anesthesiol Clin. 2019 Mar;37(1):13-32. doi: 10.1016/j.anclin.2018.09.009. Epub 2018 Dec 27.

Advanced Trauma Life Support® Update 2019: Management and Applications for Adults and Special Populations.

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Department of Anesthesiology, Program in Trauma, Critical Care Medicine, University of Maryland School of Medicine, Maryland Critical Care Network, R Adams Cowley Shock Trauma Center, 22 South Greene Street, T3N08, Baltimore, MD 21201, USA. Electronic address:
Department of Surgery, University of California, Irvine, 101 the City Drive South, Building 1, Orange, CA 92868, USA.
Trauma Committee, Anesthesiology Liaison, Pediatric Anesthesiology Simulation, Pediatric Advanced Life Support Program, Department of Anesthesiology, Perioperative, and Pain Medicine, Baylor College of Medicine, Texas Children's Hospital, 6621 Fannin Street Suite A-3300, Houston, TX 77030, USA.


As the principal operating room resuscitationists, anesthesiologists must be familiar with the principles of Advanced Trauma Life Support®, 10th edition. This edition recommends a highly structured approach to trauma patients and endorses several advances in trauma resuscitation. There are less stringent guidelines for crystalloid administration, references to video-assisted laryngoscopy, suggested use of viscoelastic methods to guide transfusion decisions, and other changes reflecting recent advances. This article discusses trauma team approach to resuscitation, greater focus on special populations, de-emphasis of spinal immobilization in favor of restriction of spinal motion, and other updates and technical advances.


ATLS(®); Advanced Trauma Life Support(®); Damage control resuscitation; Damage control surgery; Injuries; Trauma; Trauma anesthesiology; Trauma resuscitation

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