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    This document outlines the key components and procedures involved in performing an ATLS primary survey on a trauma patient. It describes the steps to assess a patient's airway, breathing, circulation, disability, and exposure. The primary survey is the initial rapid assessment conducted to identify life-threatening injuries, with the goal of intervening on airway, breathing, or hemorrhage issues. Adjuncts that can be used include vital sign monitoring, ultrasound, chest tubes, and IV access. Effective teamwork and communication are important when performing the primary survey.

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    This document outlines the key components and procedures involved in performing an ATLS primary survey on a trauma patient. It describes the steps to assess a patient's airway, breathing, circulation, disability, and exposure. The primary survey is the initial rapid assessment conducted to identify life-threatening injuries, with the goal of intervening on airway, breathing, or hemorrhage issues. Adjuncts that can be used include vital sign monitoring, ultrasound, chest tubes, and IV access. Effective teamwork and communication are important when performing the primary survey.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    12 views29 pages

    ATLS

    Uploaded by

    blazingdk sri
    This document outlines the key components and procedures involved in performing an ATLS primary survey on a trauma patient. It describes the steps to assess a patient's airway, breathing, circulation, disability, and exposure. The primary survey is the initial rapid assessment conducted to identify life-threatening injuries, with the goal of intervening on airway, breathing, or hemorrhage issues. Adjuncts that can be used include vital sign monitoring, ultrasound, chest tubes, and IV access. Effective teamwork and communication are important when performing the primary survey.

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    of 29

    ATLS- PRIMARY SURVEY

    DR R SRIDHAR
    POST GRADUATE,GENERAL SURGERY
    MMC AND RGGGH
    CONTENTS

     INTRODUCTION  CIRCULATION
     PREHOSPITAL PHASE  DISABILITY
     HOSPITAL PHASE –  EXPOSURE
    TRIAGE  ADJUNCTS
     PRIMARY SURVEY
     PATIENT TRANSFER
     AIRWAY
     TEAMWORK
     BREATHING
    INTRODUCTION

     TRAUMA- Greek word – Wound


     ATLS FEBRUARY 1976 in Nebraska
     WORLD TRAUMA DAY – OCT 17
    since 2011 in New Delhi – 400trauma
    death/day
     Theme
     Spreading awareness
     Increase understanding
     Coping techniques
     Involve ngo
    PREHOSPITAL-FIELD TRIAGE
    PREHOSPITAL-FIELD TRIAGE
    PREHOSPITAL-FIELD TRIAGE
    HANDS OFF HAND OVER- HOSPITAL
    PHASE

    • MECHANISM OF INJURY AND


    M TIME
    I
    • INJURIES

    S
    • SYMPTOMS AND SIGNS

    T
    • TREATMENT GIVEN
    TEAM WORK

     Team leader
     Divide work
     Assess strength and weakness
     Communicate
     After action session
    HOSPITAL PHASE - TRIAGE
    MULTIPLE VS MASS CASUALTY

    MULTIPLE CASUALTY MASS CASUALTY


     Number of pts and their injuries that  Number of pts and their injuries that
    doesn’t exceed the capability of the centre exceed the capability of the centre
    TRAUM
    A
    PRIMARY
    SURVEY

    SECONDARY
    SURVEY
    PRIMARY SURVEY
    AIRWAY WITH CERVICAL SPINE IMMOBILISATION
    REMOVING HELMET

    STEP 3 STEP 4
    STEP 1 STEP 2
    JAW THRUST
    CHIN LIFT
    DIFFICULT AIRWAY
    L • LOOK EXTERNALLY

    E • EVALUATE 3-3-2 RULE

    M • MALLAMPATI SCORE

    O • OBSTRUCTION

    N • NECK MOBILITY
    DIFFICULT AIRWAY ALGORHYTHM
    BREATHING

     AIR ENTRY
     NECK VEIN
     RR
     HR
     HEART SOUNDS – muffled - Pericardial effusion
     PERECUSSION –Dull in hemothorax,increased in pneumothorax
     TRACHEAL POSITION- mediastinal shift
    CIRCULATION

     PULSE – CAROTID
     SHOCK- HEMORRHAGE – INTERNAL /EXTERNAL
     IV ACCESS – 2 WIDE BORE CANNULA
     FOLEYS –Urine output
     CRYSTALLOIDS
     BLOOD TRANSFUSION 1:1:1
     HEMOSTASIS
     INOTROPES
     TRANEXAMIC ACID – Bolus,8th hr
    DISABILITY

     GCS- NEUROLOGICAL STATUS


     WATCH FOR ALCOHOL/DRUG ABUSE
     MAINTAIN CEREBRAL OXYGENATION AND PERFUSION
     REASSESS
    GCS
    EXPOSURE

     COMPLETE EXAMINATION
     HYPOTHERMIA
     WARM FLUIDS
     WARM BLANKET
     HEMORRHAGE CONTROL
    ADJUNCTS TO PRIMARY SURVEY

    ECG,BP RR,ETCO2,SPO2,ABG XRAY

    E FAST DPL RYLES TUBE,FOLEYS


    PATIENT TRANSFER

     Beyond capability of centre


     Need for higher centre care
    REFERENCES

     ATLS 10TH EDITION


    THANK YOU

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