Professional Documents
Culture Documents
Atls 10th Primary Survey
Atls 10th Primary Survey
Assessment and
Management for
Trauma
Outline
◈ suction
◈ jaw-thrust or chin-lift
maneuver
◈ nasopharyngeal or
oropharyngeal airway
◈ definitive airway
◈ C-collar
Breathing and ventilation
Tension Pneumothorax
◈ hyperresonant note on
percussion
◈ deviated trachea
◈ distended neck veins
◈ absent breath sounds
Breathing and ventilation
Massive hemothorax
◈ >1500 mL of blood or
≥1/3 of the patient’s blood
volume
◈ continuing blood loss
(200 mL/hr for 2-4 hours)
◈ persistent need for blood
transfusion
Breathing and ventilation
Open pneumothorax
◈ opening in the chest wall
is approximately ≥2/3 the
diameter of the trachea
Breathing and ventilation
◈ level of consciousness
◈ pupillary size and reaction
◈ lateralizing signs
◈ spinal cord injury level
Exposure and environmental control
◈ completely undress
Resuscitation
Urinary Catheters
◈ C/I : urethral injury
○ blood at the urethral meatus or perineal ecchymosis
◈ do not insert a urinary catheter before examining the
perineum and genitalia
Urinary and gastric catheters
Gastric Catheters
◈ C/I: fracture of the cribriform plate
○ insert the gastric tube orally to prevent intracranial passage
X-ray examinations and diagnostic studies
◈ supine position
◈ extended fingers against the patient’s neck
◈ Your little finger should almost be touching the
patient’s shoulder
◈ Count how many of your fingers it takes to reach the
jawline.
◈ Find the appropriately sized collar
◈ Have another provider restrict the patient’s cervical
spinal motion
Cervical collar
http://www.rch.org.au/clinicalguide/guideline_index/Cervical_Spine_Injury/
Needle decompression
Subxiphoid view
◈ Start with the heart
◈ Place the probe in the
subxiphoid space
FAST
RUQ view
◈ coronal plane in anterior
axillary line
◈ visualize the diaphragm,
liver, and kidney
FAST
LUQ view
◈ coronal plane
◈ midaxillary line
◈ Visualize the diaphragm,
spleen, and kidney
FAST
Suprapubic view
◈ Place the probe above
the pubic bone
◈ Rotate the probe 90°
Application of pelvic binder or other pelvic
stabilization device
◈ Landmarks: greater trochanters
◈ Internally rotate
◈ Slide the device from caudal to cephalad, entering it
over the greater trochanters.
◈ Alternative: Logroll
◈ If using a sheet, cross the limbs of the sheet and
secure with clamps or towel clamp.
Application of pelvic binder or other pelvic
stabilization device
Application of pelvic binder or other pelvic
stabilization device
Oral endotracheal intubation