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ATLS

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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107 views29 pages

ATLS

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.

Uploaded by

blazingdk sri
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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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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