suite Avancado de Vida no jer '_ para Médicos Ce ee eee Ree eC CMe) ' 2 7OITAVA EDICAO, Copyright© 2008 American Collegeof Surgeons 699 N.Ssint Chair Steet Chicago, 1L.60611-3211 Edigoes anteriores 1960, 1962, 1964, 1993, 1997, e 2004 pelo American College of Surgeons. Diteitoseutorasibternacfonaisconforme a Convengio de Bern ¢ Uniform Copyright Convention (Convengto Uniforme de Diteitos Autorais). Todos 0s diretos reservados, Este manual etd protegido pelo dieito autora. Nenhurma parte dele poderdserreproduzida, armazenada em sistema de recuperagso de informmacdes ‘ou transmitida de qualquer forma ou por quaizquer meios,eletrOnicos, mecinicos, {otocbpias, gravagtes ou outros, sem permissfo por escrito de American Collegeof Surgeons © Colégio Americano de Cirurgibes, seu Comite de Trauma, ¢ os autores > Nova Ficha de Atendimento no Trauma (Apéndice 0) >» Conduta em Desastres e Prontidao para Emergencias (Apéndice #) > Treinamento Pratico X-B: Avaliagdo da Articulagao Atlanto-Occipital >» Novo Algoritmo de Atendimento da Via Aérea >» Algoritmo Atualizado de Tratamento de Frature Pelvica vi"Esta edigio exbe um novo desenho colorido com novasfo- topraias ¢ dustragdes médicas coloridas. O contetido € apresentado em formato narrativo e nio rezumido, para ‘lor fcidadena letra, Alm dso, fo feito um esorgo para incrementar as caracerstica pedagopicas do texto a fim de aprimorara compreensio do ano e a retencio do conhecimento, Atente para as seguintes caractersticas: SUMARIO Esta carcterstica ferece um “mapa do -Eaminho" parao contedido do capitulo. QUESTOES CHAVE: J Estas questbes estio alinhadss com 2 apresentagio em Power Point do instutor 2 fim de preparat 0 estudante para dis cssbes cave durante a paestra ‘Sentengas que aparecem em fonte ver. rmelha para atrair a atengdo do leitor ‘para pontos chave da informacso. PONTOS CHAVE: af Referencias cruzadas com outros capi tulos,estagbes de treinamento prtico fontes adicionais para ajudar @ colocar ‘todas as informacées juntas. {Stas cars reaam armadihas cites serem evtadas rane oatencnerto do dente waumatace UGAGOES ARMADILHAS RESUMO 3 ( resumo do capitulo liga-se com os obje tivos do capitulo para assegurar a com- reensio da maioria do conteddo pertnente do capitulo, Notas do Editor ee meme © Comité de Trauma do ACS € referenciado como COT ACS ou Comité ¢ o presidente de estado/provin: tefe- tenciado como presidente S/P. marae ‘A natureza internacional desta edigao do manual de alunos do ATLS pode exigir modificacdes em termos co- fae te utilizados a fim de faciitar a compreensio para es eae ea teen ge mars selstradst de proiedade «de servos postldas pele SEE eg Sats spd rot por individuos ou instituigses fora da CS, nem pelas propriedades e servisos {uigdes sem a aprovacso do ACS. Do mesmo modo, qual- Guer reproducao de uma ou ambas em conjuncso direta Sim o programa ATLS ACS dentro da organizagzo do ‘Comité de Trauma do ACS deve ser acompanhada pelo ‘Simbolo legal comum de propriedade de marca. Comité de Trauma do L Colégio Americano de Cirurgides John Fildes, MD, FACS Presidente do Comité de Trauma Professor of Surgery, Vice Chair Department of Surgery, Program Director, General Surgery Residency Chief Division of Trauma & Gritcal Care University of Nevada School of Medicine Las Vegas, Nevada United States |. Wayne Meredith, MD, FACS Dizetor Médico do Programa de Trauma Director ofthe Division of Surgical Scien Professor and Chairmen Wake Forest University School of Medicine Winston-Salem, North Car United States Subcomité do Advanced Trauma Life Support do Con na do Colégio Americano de Cirurgides John B. Kortbeek, MD, FRCS Presidente do Subcomité ATL Professor Departments 0 University of Calgary and Calgary Health Region Calgary, Alberta Canada Christoph R. Kaufmann, MD, MPH, FACS Diretor Internacional de Cursos, Subcomité ATLS Associate Medical Director ‘Trauma Services, Legacy Emanuel Hospital Portland, Oregon a United StatesNorman M Rich Department of Surgery Maryland Rhode land Hospital, Deparment of Surgery Professor and Chairman ‘The Warren Alpert Medical School of Brown University, | Department of Surgery " Providence, Rhode sland United Sates Arthur Cooper, MD, MS, FACS, FAAR.ECCM. Professor ofS Columbia University Medical Center Afiation at Haslem Hospital ‘New York, New York United Sates “Michael Hollands, MB BS, ERACS, FACS Head of Hepatobiliary and Gastzo- oesophageal Surgery Westmead Hospital Sydney, New South Wales Australia ‘Claus Falek Larsen, MD, drsmed., MPA, FACS Medical Director ‘The Abdominal Centre, University of Copenhagen, Rigshopitalet Denmark Copenhagen, Denmark West Livaudais,j, MD, FACS Thoracie Surgeon Southwest Wound Healing Center, Southwest Washington Medical Center Vancouver, Washington United States Fred A. Luchetie, MD, FACS Director, Division of Trauma, Critical Care, and turns Department of Surgery, Stritch School of Medicine, Loyola ‘University of Chicago “Maywood, lino United States Frederick Moore, MD, FACS iar ‘Head, Division of Surgical Critical Cae and Acute Care Methodist Hospital Houston, Texas United stares ‘Steven N. Parks, MD, FACS Professor of Clinical Surgery University of California, San Francisco, Department of Surgery, ‘Community Regional Medical Center Fresno, California United States Renato Sérgio Poggetti, MD, FACS Professor Associado de Cirurgia do Treuma Hospital das Clinicas Universidade de Sto Paulo Basi ‘Thomas M.Sealea, MD, FACS, Physician in Chief R Adams Cowley Shock Trauma Center Francis X Kelly Professor of Trauma Surgery, Director Program in Trauma University of Maryland School of Medicine Baltimore, Maryland United Sates R Stephen Smith MD, RDMS, FACS Vice Chair and Director of Surgical Education Department of Surgery, The Virgina Tech - Carilion Medical School Roanoke, Virginia United States Richard Bell, MD, FACS (CON) Professor and Chaieman, Department of Surgery University of South Carolina Columbia, South Caroling United States Brent E. Krantz, MD, FACS (CON) Professor of Surgery University of South Carolina Columbi, South Carolina United StatesSalvador Martin Mandujane, MD, FACS |General Surgeon Medical Director ‘Cozumel Medical Center ‘Cozumel, Quintana Roo ‘Mexico ‘Charles E. Morrow J, MD, EACS Assistant Profesor Assistant Program Director, General Surgery ‘Medical Director, Trauma Surgery Department of Trauma, Spartanburg Regional Medical Center ‘Spartanburg, South Caroline United States Frank Sacco, MD, FACS Director of Traums, Chief of Surgery Alaska Native Medical Center, Department of Surgery Anchorage, Alaska United tates ‘Martin A. Schreiber, MD, FACS Associate Professor of Surgery Chief of Trauma and Surgical Critical Care ‘Oregon Health & Science University, Trauma & Critical Care Section Portland, Oregon United States Representante da Sociedade Americana de Anestesiologia no Subcomité do Advanced Trauma Life Support do Comité de Trauma do Colégio Americano de Cirurgides eS TA. Antoine, MD ‘Associate Professor of Clinical Anesthesia University of California, San Francisco, Department of ‘Anesthesia and Perioperative San Francisco, California United States Representante do Colégio Americano de Médicos de Emergéncia no Subcomité do Advanced Trauma Life Support do Comité de Trauma do Colégio Americano de Cirurgides Richard C Hunt, MD, EACED flare (Centers for Disease Cot Adlanta, Georgia United StatesDirector _Biminghem Regional EMS Birmingham, lsbams United Sater ‘Saud AI Turk, MD, FRCS, ODTS, FACA. EACS Director | Joe Adkes HL MS, MPH EMT-P Enective “aus Courses Off Posraduate Edson & “Academic Afr, King Abdus Medical ity Rich ‘Kingdom of Saudi Arabia Faimah Albericin, RN Seaior Officer life Suppert Training Centr, Tavam Hospial alate of fon Hopkins Medicine Alain, Ab Dhabi United Arab Emirstes Calin Aldana AILS Coordintor Cocimite on Tuma, Chile Sentngo Chile ‘Donna Allerton, RN Catia! Care, Coordinator - ATES. ‘McMaster University Medical entre Hamilton, Oaterio Gnade Gatot Soebroto Centel Army Hospital Jakarea Tim Indonesia John A. Androulakis, MD, FACS Emeritus Profesor of Surgery Gniveesity Hospital of Panes, Patras Greece Guillermo Arana, MD, FACS General Surgeon ational Hospital Panama City Panama Ivar Aust Department of Anaesthesis and Intensive Care Haskelond Univsesity Horta (ln Lecture, Universi of Clgey Ken Bollard MB BCh, FRCS FRCS 4), racs Profesor and Cnc! asd Deparment of Surgery. Jbansebur Hop, University ofthe Witetearand fohannesarg South Aca Raphael Bonvia. MD, PAD Unie de pedspgi Medial, Facade biologie de medicine ausnoe Switedand Berl Buin, MD Beoleior Universi of Wien Herel Cologne, Meteim Medical Center Department of “Trauma and Orhopedi Surgery Cologne Germany Marianne Brant Special Edseation Teacher Disks Educator Cares, Minds Venerila Fred Brenneman, MD, FRCSC, FACS (hie Traum Program Sunnybrook Health Sciences Center “Associate Profesor Department of Surgery, University of Toronto Toronta, Ontario Cenads ‘Ase Brinchmann-Hlanser, PD ‘Mamsing Educational Consultant ‘The Norwegian Medial Auociation, Department af Profesional Afaits ote Nonay Pater Brink, MD, PRD hil, Department of Traumatology Universiy Hospital Maastricht, Department of “Trauosatoleg ‘Vln Cebading ATLS National Coordinator, Sud Arabia ‘Academic Afuirs ‘King Abdulais Medical Cty NGHA. Riyadh ‘Kingdom of eudi Arabia (Gerardo Cuauhtemoc Alvin Cardenis ‘Assistant and Special Projects Coordinator ‘American Coleg: of Surgsns ATLS Progam Ofc. Chicago, Tinos United Sater (Catlos Carvajal Hafemana, MD, FACS Professor of Surgery Director of Surgery ofthe Est Campus Universidad de Chile santiago Chie Gustavo Castagneto, MD, FACS Profesor of Surgery ‘Buenos Aires British Hospital, Department of Surgery Buenos Aires Asgentina Jane Sau-Hung Chan ‘Sls Developrnent Center, Universy of Hong Kong Medial Cente (Queen Mary Hospital, Departmen of Surgery Hong Kong China ‘Will Chapleau, EMT-P, RN, TNS ATLS Program Manager Arerican Collegeof Surgeons ATLS Progra Office Chicago lino United States Zstaullah Chaudhry, MD, FRCS, FCPS, FACS Proessorof Surgery ‘Nitonal Hospital and Medical Center President Collegeof Physicians and Surgeons Pakistan Lahore Pakistanae ee es ere | Pretoria ‘Asses Candi Darto \Coordenadors Nacional do ATLS, Portal Sodedde Prmagues de Crurgia Linbos Por Ruth Dyson, BAQons) ATS Co-ordinator ‘The Royal Cllege of Surgeons of England London United Kingdom David Eduardo Eskenssi, MD, FACS hit General and Thorac Surgery Hal A Onstivie Buenos Aires ‘Argentina Vag Norgaard Eskzsea, MD Associate Profesor University Clini of Nearosurgery, National of Acidet & Emergency, North Kong pe ees ad _ Servigo de Cirurgia de Emerptoca, Hosa (Claicas da Universidade de Sio Paulo | Sio Paulo Denmark Deals Boy. MCH, FRCS! Frolan A. Fernandez, MD Medial Director Emergency Service Hospi! del Tabsjador Sencago Che (Cornelia Rita Mari Getruda Flt, MD, Meas ‘Senior Consultant io Medica! Education Univesity Medical Centre Nimegen, Quality and Development of Medica! Education Niimegea ‘The Netherlands Jorge Estcban Foianini, MD, FACS Genera Surgeon Director Foianini Ginic Santa Cruz Bolivia South Africa TBS TATES pn! Cocos Au / Ee aupassp iy Neral Sut eae, Hospital - Copeahagen University Hospital United Arab Emirates Agglos Gerais, MD General Surgeo, Intensvst Sur. Clinic of Livadia Rural Hospital ‘Athens Greece Michael Gerssounis, MD Greece Jevier Gonziles-Uriarte, MD, PRD, ERSQ, specs Danish Armed Forces Helin Service Hele Enrique A.Gurms Neurosurgeon Diplomat ia Public Heats Director, Neuronurgery Services Guayaqud Hospital Guayaquil Ecuador (Cottallat, MD, FACS‘Jose Mara JorerNavalon, MD, FACS (Chief of Hepstopancrenicand Bary Surgery “Hospital Universiario de Getafe, Deparment of General Surgery Getafe Spain Richard Judd, PRD, EMS ‘Dean, Emergency Medial Service Edecationsl ~ Foundstion Insroctors Institute Consultant ile New Haven Heath Systems Hartford, Connecticut United States ‘Ange W: Karlsen ATLS Goordinstor [Norwegian Aic Ambulance Drobak Norway ‘Darren Kilroy, FRCSEA, FCEM, M.Ed Consultant in Emergency Mediine Stockport NHS Foundation Trust Cheshire United Kingdom ‘Lena Kiarn, RN Former ATLS National Coordinates Sweden Sahlgrensa Uoiversitesjukhuset Goteborg Sweden ‘Peggy Knudson, MD, FACS Profesor of Sanger: University of California. San Francisco Generel Hospital, Deparment of Surgery San Francisco, Califor United States Jon R Krohmer, MD, FACE. Deputy AsisantSecreary for Health Afr, Deputy Chief Medica Oficer Department of Homeland Securicy Washington, DC United State ‘Ada Lai Yin Kok ‘Skis Development Center, Univesity of Hong Kong Medical Cente (Queen Mary Hospital, Department of Surgery Hong Kong china LAM Sul Ching, BN, MEIM ‘Advanced Practice Nur (Queen Mary Hospi Hoong Koag Chine ‘Maria Lampi, BSc, BN [National ATLS Coordinator Ctr for Tenching & Research in Disaster Medicine and Traumasogy, Universi Hospi Linképing Sweden LEO Pien Ming MBBS, MRCS (Edin), ‘MMed(Orthopuedies) Changi General Hospeal, General Oxthopscdics, Department of Orthopedics Singapore Republic of Singapore Wikoa Li, MD Senior Medica Officer Department of Orthopaedics & Traumatology ‘Queen Elizabeth Hosp Hoong Kong China Helen Livanios, RN (Unie Saf Nurse Mediteranso toatl rs Emily Martens Regional Program Coordinstor Surge Ske Program Coordinator ‘American Collegeof Surgeons ATLS Program Office ‘Chicago, nots United Stats Salvjus asus, MD (OhieF of Primary Soldiers HealthCare Center in Kaunes Miltary Medical Services, Lithuanian Armed Forces Kaunas Lithuania Soledad Montoa, MD General Surgeon Department of General Surgery Hospital Garcia Orcoven Estella Spain Newton Djia Mori, MD. Cinugit Geral Servigo de Crurgia de Emergtncia, Hospital as Clinicas ds Universidade de Sio Paulo. Sto Paulo Bras Giorgio Overo, MD, FACS Profesor of Surgery Univenity of Trina, Department of Medicine and Surgery St John the Baptist HospitalJesper Rava, MD Gonsaleat, Head of General Thoracic Department (Cardiothoracic Surgery Rigshospitalet, Copenhagen University Copenhagen Denmark “Marealo Recalde Hidrobo, MD, FACS Professor of Oncological aad General Surgeries {Loja Universi, International University, Eouador, ‘Metopolitan Hospital Quito Ecuador Pater Rhee, MD, MPH, FACS, FCM, DMCC Profesor of Sugery hie Seton of Tous, Citic Crea Emergency Surgery _Aszona Heals Sciences Center, Deparment of Surgery Tucson, Arizona Vite Sates Maa React Epworth ene Richmond, Victoria Profesor ‘Hospital lines San Agustin Sen Austin Bewdor ‘Olay Reise, MD, PRD (Chairman ofthe Division of Neuroscience and ‘Musculoskeletal Medicine ‘Ullevl University Hospital Odo Norway, Die! Ruiz, MD, FACS (Cardiovascular Surgeon eMac Clinic Neuguéa ‘Argentina ‘Octavio Ruiz, MD, FACS Head of Transplant Services ‘American British Cowdray Medical Center ‘Mexico City, Distreto Federal Mexico Jeffrey Salomone, MD, FACS “Associate Profesor of Surgery Emory Universi Department of Surgery Deputy Chit of Surgery Grady Memorial Hospital ‘Aslan, Georgia United States Rodi Sancher-Aedo, RN Former ATLS National Coordiostor Mexico ‘Commitee on Trauma, Mexico Mexico City, Distrito Federal Mexico Martin Sandberg, MD, PAD Senior Consultant in Anesthesiology ‘Air Ambulance Department, Ulevl University Hospital Oslo Norway, ‘Nicole Schaspreld, RN Managing Director / National Coordinator ATLSNL ‘Advanced Life Support Group - NL Rid The Netherlands Patrick Schoerier, MD, MER. ‘Stal Specialist Department of Anesthesiology, University Hospital Vaud Lausanne ‘Switzer ‘Kari Schroder Hansen, MD CCansultne Generel Surgery Department of Surgery, Haukeland University Hospital Bergen Norway ‘Bolivar Serrano, MD, FACS General Surgeon “rosptal Latinoamericano ‘Ouenes Ecuador Juan Carls Serrano, MD, FACS, Department of Trauma Director “Horptal Santa Tnés Cuenca Bauder ‘Maik Sheridan, MBBS, MMedSe, FRACS “Associate Professor Ditector of Surgery and Disector of ‘Neurosurgery, Liverpool Hospital Sydaey, New South Wales ‘uctraia Richard K. Simons, MB, BChis FRCS, FROSC, acs Associate Professor Medical Decor, Tum ‘Services Department of Surgery, UBC, Vancoures (Coastal Heath ‘Vancouner, British Columbia Canada Preesha Sirtongtsworn, MD, FACS (Chief Divisio of Tauana Surgery Department of Surgery, Faculty of Medicine Sivirnj Hoeptal, Mahidol University Bangkok Thailand [Nile Odivar Skaga, MD (Chief Anccxthesiologit for Trauma ‘led University Hospital Oslo Norwsy Peter Skippeo, MBBS, FRCPC, FIFICM, MHA. ‘Medical Director and Division HeadPaal-Martin Suter, MD Depurmentf Srey Spinnin ‘Swinedand Lars Bo Svendsen, MD,D M Sci Associate rofesior Surgery (Copenhagen Univesity, Deparement of ‘Abdominal Surgery nd Transplantation, Rigshospitalet Copenhagen Denmark asso Taghslais AILS National Coordinator, Greece University of Patras Pats Greese Wales. Taha, MD_ Assistant Profesor of Surgery Manager Schlag dred Lil Sppor: Groop ‘The Netherlands ‘Armand Robertvan Kanten, MD ‘General Surgeon, Head of Traums University Hospital Paramaribo Paramaribo Suriname Endre Vargs, MD, PAD Vze Qhairman, Profesor of Trauma Surgery Department of Traumatology Albert Szentgyorgyi Medical and Pharmaceutical Center, University of Steed Soeged Hungary Edina Vaskonyi Department of Traumatology, Unversity of Sueged Sueged ‘Hungary Panteleimon Vasiiu, MD, PRD tending Surgeon (General Surgical Clinic Aston University Hospital athens Greece Eugenia Vaslopoulou, MD ‘Daryl Williams, MBBS, FANZCA, GD'pBusad, Gaipcr Associnte Professor, Univesity of Melbourne Royal Melbourne Hospi, Deparment of “Anaesthesia Director Anaesthesia ‘Melboure Hospital, University af Melbourne Melbourne ‘sactalia Robert Winter, FRCP. FRCA, DM. Consultan in Ceitical Care Medicine Mid Tren Critical Care Neework and Nottingham University Hospitals Nottingham ‘United Kingdom "Nopadat Wora-Ursi, MD, FACS President-Elect, Royal College of Surgsons Royal College of Surgeons of Thailand Bang Wai-Key Yuen, MB BS, FRCS, FRACS, FACS Consultant Department of Surgery, Queen Mary Hospital Hong Kong China ROLL DE HONRA ‘Ao longo dos dltimos 30 anos, o ATLS ceresceu de um curso de treinamento meédico em Nebraska, para o atendi- mento de doentes traumatizados em ‘uma familia de especialistasem trauma de mais de 50 paises que voluntaria- ‘mente doam sett tempo para assegurar que, 0s nossos materiais reflitam conhecimento das _pesquisas mais atuais € que © nosso curso seja dese- thao para melhorar a sobrevita do doente. A oitava edigdo do ATLS rellete 1s esforgos dos seguintes individuos ‘que contribuiram para as primeiras sete ‘edigoes e que aqui Saba F Abuabara, MD. FACS JoeB. Acker. Il, MS, MPH, EMT Raymond H, Alexander, MD, FACS arood Al, MD. FRCS (C) lane Ai MID. MINed Ed, FRCS (C), FACS. Charles Aprsbaign, MU FACS Gultermo Aes, MD, FACS Ain Lisa Argonedo Manrigue-Athar Cooper, MD, MS,EACS Ronald D. Calg. MD Doug Davey. MD ‘iabeth d Solesio, PAD Subrato Deb MD aad Denis, MD esas Diaz Portocarero MD, FACS. FrankX Dota, MS Marguerite Dupré, MD Brent Bastmas, MD, FACS Frank, Each, MD, FACS ‘Martin R ichelberger, MD, FACS David Eduardo Bckenasi, MD, EACS Wiliam F Fallon, J, MD, EACS David V. Feliciano, MD, EACS Frolan Fernandes, MD Catios Fernandez Bueno, MD John. Fildes, MD, FACS Ronald P Fischer, MD, FACS Lewis M. Flint fe. MD, FACS ‘Stevenson Fanigan, MD, FACS ‘EscbanFoianni G, MD, FACS Jorge B Foianini, MD, FACS, Richard Fring, MD Sprain Gagnon, MD_ ‘Richard Gameli, MD, FACS ‘Thomas A. Gennareli, MD, FACS Paul Gebhard James A. Gling, MD, ECP John H. George, PAD Roger Gilbertson, MD Robert W. Gillespie, MD, FACS Mare Giroux, MD J. Alex Haller, J, MD,EACS ‘Barton H. Haris, MD, FACS ‘Michael L. Hawhins, MD, FACS “Tan Haywood, FRCS (Eng), MRCS,LRCP | James, Heckman, MD, FACS Jane E Heilman, MD, FACS. David M. Heimbach, MD, FACS ‘David N, Herndoa, MD, FACS Erwin F Hirsch, MD, FACS. -Francico Helga, MD David B Hoyt, MD, FACS “ven K. Hughes, RN ‘Richard C Hont, MD, PACE? ‘Miles H. Living, FRCS (E4), FRCS (Eng) Jose Maria Jover Navalon, MD, FACS Richard L Judd, PRD ‘Gregory uskovich, MD, FACS Christoph R Kaufmano, MD, BACS Howard B. Keith, MD, FACS James F Kelam, MD, FRCS, FACS ‘Steven. Kilkenny. MD, FACS John B.Kortbeck, MD, FACS Brent Kranz, MD, FACS Jon R. Krohmer, MD, ACEP Katherine Lane, PRD ‘rapcis G.Laplana, MD,EACS, Pedro Larios Aznar ‘Anna M, Ledgerwood, MD, EACS Dennis G, Leland, MD, FACS Frank Levis MD, FACS ‘Edward B.Lucsi, MD, FACEP Eduardo Luck, MD, FACS ‘Thomas G. uersen, MD, EACS ‘Amnl Luterman, MD, FACS Femando Magallanes Negrete, MD Donald W: Marion, MD, EACS Michael R-Marohn, DO, ACS Remy D Martin, MD Salador Marin Mandujane, MD, FACS ‘Kimball Maul MD, FACS ‘Mary C. McCarty, MD, PACS (Gerald McCullough, MD, FACS John E. MeDermort, MD, FACS Jaumes A. McGehee, DVM, MS Wiliam F MeManus, MD, FACS Noman E.MeSain, jr, MD, FACS Philip S. Mew, MD, FACS (Opmthia L. Meyer, MD Frank B, Miler, MD, FACS Sidney FM, MD, FACS mest E. Moore, MD, FACS Johanne Morin, MD David Mulder, MD, FACS Raj K. Narayan, MD, FACS James , Nichol, BVM, Ms ‘Marin Odriozola, MD, FACS Franin C.Olo0, EAD Gonzalo Ostia B MD, FACS ‘Arthur Pagé, MD Jost Pai Tejada Steven N. Parks, MD, FACS Chester (Chet Pa, MD ‘Mark. Pertman, MD ‘Andrew B, Peitanso, MD, FACS Jean Peoquia, MD Pip W. Perdue, MD, FACS ‘EW Rodoey Peyton, FRCS (Bd), MRCP Lawrence H. Pits, MD FACS Galen V, Poole, MD, FACS Ernest Prégent, MD ‘Richard R rice, MD, FACS Herbert Procto MD, FACS Jacques Provost MD Pani Podimat, MD ‘Max L Ramenotiky, MD, FACS ‘Marelo Recalde, MD, FACS Toho Reed, MD ‘Marleta Reynolds, MD, FACS Stuart A Reynolds, MD, FACS ‘Bernard Rey, FFARCS (Chases Riker, MD, FACS ‘Avraham Rivkind, MD Ronald E Rosenthal: MD, FACS ‘Grace Rony, MD, FACS 1. Octavio Raz Spare, MD, MS, FACS James M. Ryan, MCh, FRCS (Eng), RAM James M, Salander. MD, FACS Gucider Sass, MD Rocio Séncher-Aedo Linares ‘Thomas G Sal, MD, EACS Wiliam P Schecter, MD,EACS Thoma E Scot, MD, FACS ‘Stuart R Seif MD, FACS Steven R.Shacford, MD, FACS ‘Mare J Shapiro, MD, FACS ‘Thomas E shaver, MD, FACS Richard C simmonds, DVM, MS David V. Skinner, FRCS (Ed), FR¢ Arnold Sladen, MD, FACS ‘Ricardo Sonneborn, MD, FACS (Gerald 0. Sach, MD, FAC: Lather M. Steyr I, MD James K.Styner, MD John E. Suton, J MD, FACS Toseph ITepas, I, MD, FACS ‘Stéphane Tétacault, MD (Gregory A Timberlake, MD, FACS Peter . Taos, MD, FACS Stanley Trookso, MD, FACS avid Tugale, MD, FACS Jey Upright Antonio Vera Boles ‘Alan Verdant, MD J.Leone Vilavicencio, MD, FACS Fran C Wagner. MD, FACS ‘Raymond LWarpehs, MD, FACS (Clark Wats, MD, FACS John A. Weigelt, MD, FACS John West, MD, FACS Robert] White, MD, FACS Fremont P Wirth, MD, FACS Bradley D. Wong, MD, FACS Peter Worlock, DM, FRCS (Ea), FRCS (Eng)