VIVA

Trauma

ATLS Protocol

Horizontal Approach

cABCDE

Address catastrophic bleeding first by applying direct pressure over the wound.

 

Two 18 gauge (Green) Wide bore cannulae

Multi monitor (BP, PR, Saturation)

Give O2 by face mask

AMPLE History

 

Primary Survey

A – Can Talk

C -Spine (Cervical Collar)

B – Chest expansion, Percuss, Breath sounds

C – BP, PR and CRFT

D – GCSp

E –

Secondary Survey

Full history and Head to toe examination

 

Head Trauma

Chest Trauma

Abdominal trauma

If penetrate the peritoneum –> Exploratory Laparatomy

FAST SCAN

 

Pelvic trauma

Pelvic binder

 

Shock

 

Burns

  • Fluid resuscitation based on Parkland formula
  • If Burn surface area is more than 15% in adults
  • Rule of nine to determine Burn surface area
  • 4 * BW * TBSA   ml in 24 hrs
  • Half in first 8 hrs and rest within 24 hrs