Professional Documents
Culture Documents
ATLS
7
Jason Smith, Consultant Surgeon 1/00
Initial
Assessment
/
Management
Primary
Survey
! Iden%fies
most
life-‐threatening
injuries
Resuscita0on
! Airway
control
! Ensure
oxygena0on
/
ven0la0on
! Needle
/
tube
thoracostomy
Primary Survey
! Airway
obstruc0on
! Tension
pneumothorax
! Open
pneumothorax
! Flail
chest
! Massive
haemothorax
! Cardiac
tamponade
! Respiratory
distress
! Distended
neck
veins
! Unilateral
↓
in
breath
sounds
! Hyper-‐resonance
! Cyanosis,
late
Open Pneumothorax
! Cover
defect
! Chest
tube
! Defini%ve
opera%on
Flail Chest
!
a.
consciousness.
! b.
skin
color
! c.
Pulse.
!
external
bleeding
is
iden%fied
&
controlled
in
the
primary
survey.
!
Tourniquets
should
not
be
used
**
F α 1/l and F αd
! It
is
the
pt’s
body
temp
that
is
most
important,
not
the
comfort
of
the
health
care
provider.
! Intravenous
fluid
should
be
warm.
! Warm
environment
(room
tem)
should
be
maintained.
! early
control
of
hemorrhage.