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(Advanced Trauma Life Support) Moderator: Dr. Deepak S: Ganesh Kumar VIII Term

This document provides an overview of Advanced Trauma Life Support (ATLS). It describes ATLS as a standardized approach to managing acute trauma patients that advocates initially assessing and treating life threats before a detailed history or diagnosis. The key components of ATLS include preparation, triage, a primary survey to evaluate Airway, Breathing, Circulation, Disability, and Environment (ABCDE), resuscitation, secondary survey, and definitive care. The primary survey focuses on identifying and addressing immediate life threats, while the secondary survey provides a full head-to-toe examination after initial resuscitation. An ideal trauma team to perform ATLS consists of a team leader, anesthetist, nurses, radiographer and other

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4K views20 pages

(Advanced Trauma Life Support) Moderator: Dr. Deepak S: Ganesh Kumar VIII Term

This document provides an overview of Advanced Trauma Life Support (ATLS). It describes ATLS as a standardized approach to managing acute trauma patients that advocates initially assessing and treating life threats before a detailed history or diagnosis. The key components of ATLS include preparation, triage, a primary survey to evaluate Airway, Breathing, Circulation, Disability, and Environment (ABCDE), resuscitation, secondary survey, and definitive care. The primary survey focuses on identifying and addressing immediate life threats, while the secondary survey provides a full head-to-toe examination after initial resuscitation. An ideal trauma team to perform ATLS consists of a team leader, anesthetist, nurses, radiographer and other

Uploaded by

abhaymalur
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
  • Introduction
  • ATLS vs. BTLS
  • Components
  • Primary Survey
  • Airway and Cervical Spine
  • Breathing and Ventilation
  • Circulation
  • Disability Evaluation
  • Environmental Control
  • Resuscitation
  • Secondary Survey
  • Definitive Care
  • Trauma Team
  • Additional Resources

ATLS

(Advanced Trauma Life Support)


Moderator : Dr. Deepak S
Ganesh Kumar
VIII Term

Introduction
Important

role in management of acute


trauma cases
Simplified and standardized approach to
trauma patients
Treat the greater threat first
Advocates importance of initial emergency
assessment of the patient over a detailed
history and a definitive diagnosis

ATLS vs. BTLS


Scope

to identify and manage more serious


conditions
Conducted by a well-organized Trauma Team

Components
Preparation
Triage
Primary

Survey
Resuscitation
Secondary Survey
Definitive Care

Primary Survey
Follows

on the lines of BTLS


Look for immediate threats to life
5 Components( ABCDE )

Primary Survey
A
B
C
D
E

Airway and cervical spine protection


Breathing
Circulation
Disability Evaluation
Environmental Control

A = Airway and Cervical Spine


Can

the patient talk??


Unconscious?? Chin lift, Jaw thrust
Airway adjuncts : Cricothyrotomy
Tracheostomy,
Endotracheal intubation
Aspirated vomitus or blood?? Suction
Cervical Spine Injury : Cervical Collar

Breathing and Ventilation


Examine

the chest
Look for : Subcutaneous emphysema
Chest wall injuries
Tension pneumothorax
Flail chest
Hemothorax

Circulation
Hemorrhage
External

bleed : Direct pressure


Occult bleed : Investigate
Hypovolemic Shock

Disability Evaluation
Basic

neurological assessment
Glasgow Coma Scale
Pupillary Response

GLASGOW COMA SCALE

Environmental Control
Undress

: look for other sites for signs of

trauma
Hypothermia?? : Warm IV fluids,
Warm environment

Resuscitation
IV

lines ( 2 large bore)


Control bleeding
Fluids
Blood
Screening X Rays :
3 C Spine, Chest , Abdomen
5- 3 + T Spine , L Spine

Secondary Survey
Begun

after primary survey is completed,


resuscitation efforts are well established, and
the vital signs are normalizing.

Secondary Survey( contd. )


Thorough

History
Head-to-toe Examination
Reassess vitals
Each region of the body must be fully
examined
X-rays indicated by examination are obtained
Go back to primary when condition
deteriorates

Definitive Care
Investigate

and diagnose associated


illnesses and treat accordingly

Trauma Team
A group

of health personnel who have no


other commitment that day than to receive
and treat trauma patients.
All staff should be trained in ATLS
techniques.

Trauma Team( Contd.)


Consists ideally of :
Team Leader
Anesthetist
Anesthetic Assistant
Emergency Physician
Two Nurses(Three if no anesthetic assistant)
Radiographer

Other

specialties can be consulted


depending on the nature of the injury, for
example a neurosurgeon will attend if there is
a serious head injury.

Advantage

: Horizontal Organization
Higher efficacy
Disadvantage : Expensive setup

THANK YOU

ATLS (Advanced Trauma Life Support) Moderator : Dr. Deepak S Ganesh Kumar VIII Term
Introduction Important role in management of acute trauma cases Simplified and standardized approach to trauma patien
ATLS vs. BTLS Scope to identify and manage more serious conditions Conducted by a well-organized Trauma Team
Components Preparation Triage Primary Survey Resuscitation Secondary Survey Definitive Care
Primary Survey Follows on the lines of BTLS Look for immediate threats to life 5 Components( ABCDE )
Primary Survey A Airway and cervical spine protection B Breathing C Circulation D Disability Eval
A = Airway and Cervical Spine Can the patient talk?? Unconscious?? Chin lift, Jaw thrust Airway adjuncts : Cricothyr
Breathing and Ventilation Examine the chest Look for : Subcutaneous emphysema Chest wall injuries
Circulation Hemorrhage External bleed : Direct pressure Occult bleed : Investigate Hypovolemic Shock
Disability Evaluation Basic neurological assessment Glasgow Coma Scale Pupillary Response

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