Professional Documents
Culture Documents
Initial Assessment and Management
Initial Assessment and Management
and Management
INITIAL ASSESSMENT
Preparation
Triage
Resuscitation
Continued postresuscitation
monitoring and Reevaluation
Definitive care
TRIAGE
Triage involves the sorting of patients based on their needs for treatment and
the resources available to provide that treatment
AIRWAY
• The jaw-thrust or chin-lift maneuver may suffice as an initial intervention. If the patient is
unconscious and has no gag reflex, the establishment of an oropharyngeal air- way can be
helpful temporarily. A defnitive airway (i.e., intubation) should be established if there is any
doubt about the patient’s ability to maintain airway integrity.
The secondary survey does not begin until the primary survey (ABCDEs) is
completed, resuscitative e orts are underway, and the normalization of vital functions
has been demonstrated
The secondary survey is a head-to-toe evalua- tion of the trauma patient, that is, a
complete history and physical examination, including reassessment of all vital signs.
The patient’s condition is greatly influenced by the mechanism of injury, and some
injuries can be predicted based on the direction and amount of energy behind the
mechanism of injury
( Blunt Trauma, penetrating truma, thermal injury, Hazardous Environment )
Reevaluation