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Multiple Trauma / ATLS

outline

  •     reception

  •     primary survey

  •     secondary survey

  •     radiology

  •     procedures

  •     limb injuries

  •     spinal injuries

reception

  •     Prehospital Information

  •   Nature of Incident

  •   Number, age & sex of casualties

  •   ABCD

  •   Management & Effect

  •   ETA

Airway  & Cervical Spine control

    Assess:  Ask name, facial/neck injuries, vomit

    Clear Airway: with sucker or Magill  forceps

    Chin Lift - one hand on chin, thumb in mouth, pull forward.

    Jaw Thrust

    Orotracheal intubation with in-line neck stabilisation: absent gag & poor  ventilation, head injury..

    100% oxygen at flow rate 15 l/min.

    Full cervical spine immobilisation - hard collar & lateral supports with straps across forehead & chin.

Breathing

    Inspect neck & thorax - NB trachea, neck veins

    Respiratory Rate

    Auscultate



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