You are on page 1of 21

ABC EMERGENCY

By : LHB
PRIMARY SURVEY

Assess in 10 seconds
ATLS CONCEPT
AIRWAY
PROBLEMS ?
AIRWAY
OBJECTIVE SIGNS
1. Observe if patient is agitated (hypoxia) or
obtunded (hypercarbia), sign of cyanosis
2. Listen abnormal sounds
◦ Snoring
◦ Gargling
◦ Stridor
3. Evaluate behaviour
AIRWAY
MANAGEMENT
AIRWAY
MANAGEMENT
Extraglottic/Supraglottic Devices
AIRWAY
MANAGEMENT
Definitive Airway
1. ET
2. Surgical Airway
◦ Needle Cricothyroidotomy
◦ Surgical Cricothyroidotomy
◦ Tracheostomy
AIRWAY
MANAGEMENT
Surgical Airway
BREATHING
PROBLEMS ?
1. Central Nervous System
◦ Intracranial
◦ Cervical Spinal Cord
2. Thoracal
◦ Diffusion
◦ Obstruction
◦ Inability to Expand
BREATHING
OBJECTIVE SIGNS
1. Look chest expansion
2. Listen chest sound
3. Pulse oxymetry
4. Capnography
BREATHING
Life-threatening cases ?
1. Tension Pneumothorax
2. Open Pneumothorax
3. Massive Hemothorax
4. Flail Chest

Cardiac Tamponade ??
CIRCULATION
PROBLEM ?
CIRCULATION
SHOCK  Abnormality of circulatory
system that result in inadequate organ
perfusion and tissue oxygenation
1. Hemorrhagic
2. Non Hemorrhagic
◦ Cardiogenic
◦ Obstructive
◦ Neurogenic
◦ Septic
CIRCULATION
Cardiac Physiology
CIRCULATION
Hemorrhagic Shock
CIRCULATION
What should we do ?
CIRCULATION
Never Forget
‘‘TRAUMA TRIAS OF DEATH’’
Hypothermia
Coagulopathy
Metabolic Acidosis
CIRCULATION
Response to Initial Fluid Resuscitation
TEAMWORK

DON’T BE SUPERMAN

MAKE A SUPER TEAM


THANK YOU

You might also like