Initinial Assesment

Advance Trauma Life Support

Presented By:
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dr. Agil Wahyu Pangestuputra
Master in Ehealth Management
Table Of
Background
Content Importance of the Initial Assessment
Key Steps in the Initial Assessment
Primary Survey
Resuscitation
Secondary Survey
Definitive Care
Conclusion
Background
ATLS is a standardized approach to the management of trauma
patients
Developed by the American College of Surgeons in the 1980s
Based on a systematic and algorithmic approach to trauma care

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 Importance of the Initial Assessment

1 2 3 4

It allows for the rapid It helps to establish It enables effective

The initial assessment
identification and priorities for further communication and
is a critical component
treatment of life- evaluation and coordination among
of the ATLS approach
threatening injuries management members of the
trauma team
 Primary Survey
rapid identification and treatment
of life-threatening injuries

Resuscitation
Key assessment and treatment of any
life-threatening injuries

Steps in Secondary Survey

a more detailed assessment of
the the patient's injuries

Initial Definitive Care

the initiation of definitive
Assess- treatment for any injuries
identified
ment
Primary Survey
The primary survey is the first and most important step
in the initial assessment
It involves the rapid identification and treatment of life-
threatening injuries in a structured ABCDE sequence:

Airway ensure patency and protect the cervical spine

Breathing assess for and treat any breathing difficulties

Circulation assess for and treat any bleeding or shock

Disability assess the patient's neurological status

Exposure undress the patient to assess for other injuries

Resucitation
The second step in the initial assessment is resuscitation
It involves ongoing assessment and treatment of any
life-threatening injuries identified in the primary survey
The goal is to stabilize the patient's condition and
prepare for the next steps in management

Stabilize
Secondary Survey
The third step in the initial assessment is the secondary
survey
It involves a more detailed assessment of the patient's
injuries, including a head-to-toe examination and a
focused history and physical exam
It also includes any necessary imaging or laboratory
tests
Definitive Care
The final step in the initial assessment is definitive care
It involves the initiation of definitive treatment for any
injuries identified in the primary and secondary surveys
This may include surgical intervention, medical
management, or other interventions as appropriate
Conclusions
The initial assessment is a critical component of the ATLS approach to
the management of trauma patients
It allows for the rapid identification and treatment of life-threatening
injuries
The key steps in the initial assessment include the primary survey,
resuscitation, secondary survey, and definitive care
By following this structured approach, trauma teams can effectively
manage even the most complex trauma cases
 Thank You
ATLS Student Course Manual, 10th Edition
American College of Surgeons. (2018). Advanced Trauma Life Support (ATLS)
Student Course Manual. Chicago: American College of Surgeons.