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Approach to Trauma

Approach to Trauma. Tintinalli Chapter 251. Trauma Systems. Trimodal Peak 1 Prehospital Peak 2 Early minutes at hospital Peak 3 ICU. Trauma Systems. Trauma Care Systems Planning and Development Act of 1991. Primary Survey. Gain histories AcBCDE Treat only lethal issues.

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Approach to Trauma

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  1. Approach to Trauma Tintinalli Chapter 251

  2. Trauma Systems • Trimodal • Peak 1 • Prehospital • Peak 2 • Early minutes at hospital • Peak 3 • ICU

  3. Trauma Systems • Trauma Care Systems Planning and Development Act of 1991

  4. Primary Survey • Gain histories • AcBCDE • Treat only lethal issues

  5. Primary Survey • Airway and C-spine control • NEXUS

  6. Primary Survey • Breathing

  7. Circulation • Stop bleeding • Assessment • LOC • Skin • Cardiac parameters • Establish large IVs

  8. Disability • Abbreviated neurological exam • LOC • PERLA • Motor function • GCS

  9. Exposure • Primary survey is not completed until someone is naked.

  10. Specific Injuries of Importance • Traumatic arrest • Severe head trauma • Tension / Open pneumothorax / Hemo • Abdominal GSW with hypotension • Deeply impaled objects

  11. Specific Injuries of Importance • Traumatic arrest • Severe head trauma • Tension / Open pneumothorax / Hemo • Abdominal GSW with hypotension • Deeply impaled objects

  12. Specific Injuries of Importance • Traumatic arrest • Severe head trauma • Tension / Open pneumothorax / Hemo • Abdominal GSW with hypotension • Deeply impaled objects

  13. Specific Injuries of Importance • Traumatic arrest • Severe head trauma • Tension / Open pneumothorax / Hemo • Abdominal GSW with hypotension • Deeply impaled objects

  14. Specific Injuries of Importance • Traumatic arrest • Severe head trauma • Tension / Open pneumothorax / Hemo • Abdominal GSW with hypotension • Deeply impaled objects

  15. Secondary Survey • Rapid but thorough exam

  16. Radiographic Imaging • Lateral C-Spine • Chest • Pelvis • FAST after primary exam

  17. Disposition • Operating room • Admission • Transfer • Observation • Serial exams

  18. Questions?

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