ATLS MULTIPLE TRAUMA

First peak: second to minutes

apnea due to severe brain injury-high spinal

cord injury

rapture of heart aorta large vessels

Second peak: minutes to hours

SDH EDH HTX PTX

peripheral large vessels

Third peak: several day to week

sepsis multiple organ dysfunction :

Preparation:

Prehospital phase: airway maintenance – control of

external bleeding – immobilization – immediate transport – triage

hospital phase: proper airway equipment – warmed

intravenous crystalloid – monitoring – LAB/Radiology personel

protection(face mask-eye protection-legging-gloves-vaccination)

Triage: multi casualties

mass casualties

Primary Survey

ss

Secondary Survey