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Datedon; 3rd june,2017.
Early assessment and
management of major
trauma.
*
oTrauma: a greek word means
wound. It is defined as
mechincal injury to tissue by an
external physical cause.
*A GOOD BEGINNING ALMOST
ASSURES SUCCESS…
*EMERGENCIES DON’T GIVE
US A SECOND CHANCE.
*ATLS; it is a training program for all
medical providers in the
management of acute trauma cases,
developed by american college of
surgeons
*A . ADVANCED
*T. TRAUMA
*L. LIFE
*S. SUPPORT
*Prepration; an effective prepration needs
team work.
A.prehospital phase.
o receiving hospital is notified first.
oReach to nearest facility.
B.In hospital phase.
oAdvanced planning for truma patient
arrival.
oMethod to summon extra medical
assisstance.
Airway maintenance with cervical
spine protection
*
o
o
*Assume cervical spine injury unless proven otherwise.
*Breathing and ventilation
*Rapid assessment of respiratory rate.
*Po2
*Trachea
*Chest expansion
*Percussion
*auscultation
*Circulation and
hemorrhage control
*Stop bleeding whether of external hemorrhage or
internal.
*Assess
pulse
temprature
skin colour chnage
urine output
blood pressure
*Disability and neurological
status
*Disability assessed by AVPU scale
*A; ALERT obeys commands
*V;VOCALISE
*P;PAIN respond
*U;UNREPONDER
*neurologicalSTATUS ASSESSD BY;
*GCS SCALE
*Pupil reaction to light
*Limb movement
*expose
*You can’t treat what you don’t find
*If u don’t look you wouldn’t see
*
*
o CT
o X. ray
o U/S
o ENDOSCOPY
o DPL
*
o Patient should be admitted to concerned ward or
o ICU Or
o REFERRED.
*
o Completed within 24 hours
o Review of diagnostic test and examination of patient
to ensure all injuries have been identified.
*
Thank you

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Early assessment and management of major trauma