What is the ATLS protocol?
The ATLS protocol aims to reduce trauma mortality during the golden hour. The primary survey is a systemic approach to identifying life-threatening injuries. The trauma surgeon plays a key role in implementing the correct sequence of diagnostic studies and therapeutic interventions.
What are the steps in priority order of the assessment that should be used on every trauma patient?
Advanced Trauma Life Support (ATLS), developed by the American College of Surgeons, promotes the primary survey sequence as airway, breathing, circulation, disability, exposure (ABCDE). Once the airway is secured or maintained by the patient, breathing and ventilation should be assessed.
What are the initial assessment priorities for a patient with multiple trauma?
The order of priority among injuries is related to time and degree of life threat posed by each injury. Immediate priority is given to airway control and to maintenance of ventilation, oxygenation, and perfusion. Cervical spine protection is crucial during airway intubation.
What are the steps in the damage control resuscitation concept?
DCS is a resuscitation strategy that was devised to avoid these physiological disorders. It consists of three steps: abbreviated surgery to control the hemorrhage and contamination, resuscitation in the intensive care unit (ICU), and planned re-operation with definitive surgery [20].
What are 6 life-threatening conditions?
The Lethal Six (airway obstruction, tension pneumothorax, cardiac tamponade, open pneumothorax, massive hemothorax, and flail chest) are immediate, life-threatening injuries that require evaluation and treatment during primary survey.
How do you do a rapid trauma assessment?
58 second suggested clip0:445:01How to Perform a Rapid Trauma Assessment – YouTubeYouTube
What are the five general guidelines for the priorities of care for trauma patients?
As always, start with the ABCs.
- Airway. The first part of the primary survey is always assessing the airway.
- Breathing. Assess your patient’s breathing next.
- Circulation. Once you’ve assessed and supported your patient’s breathing, attend to his circulatory status.
- Disability.
- Exposure.
What is the first priority in a trauma code?
Your first priority as a member of the trauma team is to protect yourself from exposure to blood and body fluids. Prepare to use standard precautions, which are mandatory.
Why are IV fluids not good for trauma patients?
Earlier, immediate aggressive fluid resuscitation in trauma patients was the standard approach to restore circulating volume and maintain organ perfusion. However, it may dislodge soft clots and cause dilutional coagulopathy thereby increasing hemorrhage and mortality [3].
What is end point of resuscitation?
Traditionally, the return to normal blood pressure, heart rate, and urine output has been used as the endpoint of resuscitation.
What are the four traditional windows of a FAST exam?
Focused assessment with sonography for trauma (FAST) should include views of (1) the hepatorenal recess (Morison pouch), (2) the perisplenic view, (3) the subxiphoid pericardial window, and (4) the suprapubic window (Douglas pouch).