GENERAL

MANAGEMENT OF The ATLS

concept

TRAUMA
 WHAT IS TRAUMA?

A serious injury to the body that maybe life-

threatening
Malaysia mainly from MVA
AIM OF MANAGEMENT

Prevent death
Mainly second
peak of death
GOLDEN HOUR!
 STEPS IN MANAGEMENT

Pre hospital

Triage

Hospital m(x) - ATLS

 PRE-HOSPITAL

Comprehensive on
site management
 PRE-HOSPITAL

Scoop and run

concept!
 TRIAGE

A system to sort cases based on priority especially in

mass disasters
Many dont understand leading to complaints (6 hour
UMMC)
TRIAGE
 HOSPITAL M(X) - ATLS CONCEPT

Introduced by Ortho
surgeon
Treat the life-
threatening condition
fi rst
Approach trauma in an
organized and
sequential manner
Internationally
recognized
ATLS CONCEPT
 PRIMARY SURVEY

Rapid assessment and treatment of life-threatening

injuries

A Airway (with c-spine)

B Breathing
C Circulation
D Disability
E Exposure
PRIMARY SURVEY
A AIRWAY (WITH C-SPINE)
A AIRWAY (WITH C-SPINE)
 A AIRWAY (WITH C-SPINE)

Oropharyngeal
airway
A AIRWAY (WITH C-SPINE)
 B - BREATHING

A clear airway does not mean the

patient is breathing adequately
Is required to provide adequate
tissue oxygenation
Once airway secure, a complete
examination of the lungs MUST be
done
B - BREATHING

LOOK
LISTEN
FEEL
 B - BREATHING

LOOK

ANY TACHYPNEA?
 B - BREATHING

LISTE
N

Abnormal or absent breath

sounds
B - BREATHING

FEEL

Perform percussion:
Looking for hyper resonance
or dullness
 B - BREATHING

Tracheal palpation:
Looking for
deviation
B - BREATHING

TENSION
PNEUMOTHORAX:
- No chest
excursion
- Absent breath
sounds
- Hyper resonance
- Tracheal deviation
away
C - CIRCULATION
 C - CIRCULATION

Examine for signs of

shock:
- Tachycardia
- Diminished pulse
- Pallor
- Reduce CPR
C - CIRCULATION

- Insert 2 large
bore branula
- Send for
blood!
- Transfuse!
D DISABILITY
E - EXPOSURE

- Not to miss
anything
- Ensure not
hypothermic
 SECONDARY SURVEY

History
Complete physical
examination
tubes and fingers in every
orifice
Neurological examination
Re-evaluation
THANK YOU!