Management of patients with multiple trauma . Prof. M K Alam MS; FRCS. ILO’s. Incidence of trauma Causes and types of trauma Timing and mode of death in trauma patients and its effect on trauma management. Pre-hospital care and triage Hospital care Primary survey and initial management
Prof. M K Alam MS; FRCS
Prioritizing victims into categories based on their severity of injury, likelihood of survival, and urgency of care.
Do not perform subsequent steps in the primary survey until after addressing life-threatening conditions in the earlier steps.
Airway is compromised if:
Life threatening injuries to look for:
Pelvis and retroperitoneum
Multiple long bone fractures ( lower limb)
Search for any source of blood loss:
Hemodynamically stable- CT scan, surgery only if intra-abdominal injuries found
Hemodynamically unstable- surgery
Deep medullary injuries with extravasation Vascular injuries
An ambulance is bringing a young man who was riding a motor bike. He was thrown from the speeding motor bike on a bending road. He was not wearing a safety helmet. His left leg appears grossly deformed.
pO2 and respiratory rate improves
Late presentation with abdominal injury
*X-ray c spine- the only other x-ray allowed during Primary survey