ATLS guidelines.pptx

ATLS guidelines plays a critical role in managing triage patients, this seminar is a summary about the same

1. ATLS guidelines Moderated by: Dr. Shivam Aggarwal Presented by: Gauri bargoti

2. What is atls ? Advance trauma life support

3. Need of ATls Distribution of global injury mortality by cause

4. Evolution of ATLS

5. Triage

6. Primary survey atls Which now changed to CABDE by AHA

7. airway

8. Breathing and ventilation Ventilation requires adequate functioning of lungs, chest wall and diaphragm To adequately check the jugular venous distention, position of the trachea and chest wall excursion, expose the patient’s neck and chest.

9. Management of breathing and ventilation

10. Circulation with hemorrhage control Hemorrhage is the predominant cause of preventable deaths after injury. Identifying, quickly controlling hemorrhage, and initiating resuscitation are therefore crucial steps in assessing and managing such patients. The elements of clinical observation that yield important information within seconds are level of consciousness, skin perfusion, and pulse

11. elements of clinical observation

12. Bleeding

13. Disability( neurological examination)

14. Exposure and environmental control During the primary survey, completely undress the patient, usually by cutting off his or her garments to facilitate a thorough examination and assessment. Warm intravenous fluids before infusing them, and maintain a warm environment. When fluid warmers are not available, a microwave can be used to warm crystalloid fluids, but it should never be used to warm blood products

15. Adjunct to primary survey

16. The need to transfer It is important not to delay transfer to perform an in-depth diagnostic evaluation. Only undertake testing that enhances the ability to resuscitate, stabilize, and ensure the patient’s safe transfer.

17. Secondary survey The secondary survey does not begin until the primary survey (ABCDE) is completed, resuscitative efforts are under way, and improvement of the patient’s vital functions has been demonstrated. The secondary survey is a head-to-toe evaluation of the trauma patient—that is, a complete history and physical examination, including reassessment of all vital signs.

18. History

19. Mechanism and type on injury

20. Secondary survey

21. Reevaluation Trauma patients must be reevaluated constantly to ensure that new findings are not overlooked and to discover any deterioration in previously noted findings. For adult patients, maintenance of urinary output at 0.5 mL/kg/h is desirable. The relief of severe pain is an important part of treatment for trauma patients

22. Definitive care Whenever the patient’s treatment needs exceed the capability of the receiving institution, transfer is considered. This decision requires a detailed assessment of the patient’s injuries and knowledge of the capabilities of the institution, including equipment, resources, and personnel.

23. Records and legal consideration

24. Team work in management of trauma patient

25. Conclusion

26. References ATLS Advanced Trauma Life Support- 10 th edition