Abcs evaluation of trauma patient
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ABCs Evaluation of Trauma Patient. By Dr. Mahmoud Shehadah Al hariri Emergency Medicine Orthopedic surgery. Primary Survey. A irway & C -spine B reathing C irculation E xposure D isability . Secondary Survey . Mechanism of the injury Systemic evaluation Definitive treatment.

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ABCs Evaluation of Trauma Patient

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Abcs evaluation of trauma patient

ABCs Evaluation of Trauma Patient

By

Dr. Mahmoud Shehadah Al hariri

Emergency Medicine

Orthopedic surgery


Primary survey

Primary Survey

  • Airway & C-spine

  • Breathing

  • Circulation

  • Exposure

  • Disability


Secondary survey

Secondary Survey

  • Mechanism of the injury

  • Systemic evaluation

  • Definitive treatment


A irway and c spine control

Airway and C-spine control

Assessment

  • Ascertain patency

  • Immobilization of C-spine ; hard collar

    sand bags

    tape


Abcs evaluation of trauma patient

A & C

Management

  • Chin lift Vs jaw thrust

  • Clear the airway of foreign bodies

  • Oropharyngeal or nasopharyngeal airways

  • Definitive airway ( intubation, LMV, Cricothyroidotomy…..)


Collar application

Collar application


A c patency

A & C ;patency


A c fb

A & C ;FB


A c airways

A & C ;airways


Abcs evaluation of trauma patient

A & C

NASO

ORO


A c laryngeal mask

A & C ; Laryngeal mask


A c tracheal intubation

A & C;Tracheal Intubation


A c surgical cricothyroidotomy

A & C; Surgical Cricothyroidotomy


A c needle cricothyroidotomy

A & C; NeedleCricothyroidotomy


B reathing

Breathing

Assessment

  • Expose the neck and chest

  • Rate and depth of respiration

  • Inspect and palpate the neck and chest

  • Percuss the chest

  • Osculate the chest bilaterally


Abcs evaluation of trauma patient

B

Management

  • Administer high concentrations oxygen

  • Ventilate with a bag-valve-mask or face-mask

  • Attach an end-tidal CO2 and pulse oximetery

    Attention to;

  • Alleviate tension pneumothorax

  • Seal open pneumothorax

  • Flail chest


Abcs evaluation of trauma patient

B


End tidal co 2

End-tidal CO2

Qualitative

Quantitative


Haemothorax

Haemothorax

Management

  • Chest tube

  • Indication of surgery

    1500 ml once

    200 ml/h


Flail chest

Flail chest


Flail chest1

Flail chest

Management

  • Stabilization

  • Observation

  • Mechanical ventilation


Pneumothorax

Pneumothorax


Pneumothorax1

Pneumothorax

Management

  • Simple ; observe

  • Tension ; needle insertion

    chest tube

    3-side patch (for 0pen,sucking)


C irculation

Circulation

Assessment

  • Pulse: presence, quality, rate, regularity, paradox

  • Identify source of external hemorrhage

  • Skin color ( extremities )

  • Blood pressure ( shock )


C compession

C ; compession


Abcs evaluation of trauma patient

C

Management

  • Direct pressure to external bleeding site

  • Insert two large-caliber intravenous catheters

  • Obtain blood for Labs; Hct , cross-match and ABGs

  • Start rapid IV fluid ( RL , NS )

  • Pneumatic splints or PASG to control hemorrhage

  • ECG monitor


Classes of shock

Classes of Shock


Traumatic types of shock

Traumatic Types of Shock

  • Hypovolemic ( low CVP )

  • Cardiogenic ( high CVP )

  • Neurogenic ( low HR )


D isability

Disability

Assessment

  • Determine the level of consciousness using AVPU

  • Assess the pupils for size, equality and reaction


E xposure

Exposure

  • Completely undress the patient

  • Prevent hypothermia


Revised trauma score

Revised trauma score


Abcs evaluation of trauma patient

تعليمات الوقاية من الكزاز


Thanks

THANKS…..


Mokazem com

MoKazem.com

  • هذه المحاضرة هي من سلسلة محاضرات تم إعدادها و تقديمها من قبل الأطباء المقيمين في شعبة الجراحة العظمية في مشفى دمشق, تحت إشراف د. بشار ميرعلي.

  • الموقع غير مسؤول عن الأخطاء الواردة في هذه المحاضرة.

  • This lecture is one of a series of lectures were prepared and presented by residents in the department of orthopedics in Damascus hospital, under the supervision of Dr. Bashar Mirali.

  • This site is not responsible of any mistake may exist in this lecture.

Dr. Muayad Kadhim

د. مؤيد كاظم


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