Here's an introduction to trauma and the primary survey. Here we talk about the initial management of the patient within the "golden hour" (the hour in which if we resuscitate the patient we may prevent death). So what do we do in that first hour?
Click here to continue watching...Test your knowledge
Put your answers in the comments.- What is the difference between the European ("stay and play") and American ("scoop and run") model of emergency medical transport of trauma patients? Can you name some benefits and disadvantages of each?
- As head of the trauma team resuscitating a patient, would you think it's better for you to stand at the foot of the bed and direct everyone or to get "down and dirty" and start placing lines and tubes?
- A man got shot in the buttocks and he is pissed off, he is swearing and cussing and can't answer any questions you ask. He's taking swings at everyone and trying to kick people at his feet. He's giving evil glares at any one who comes close to him. How would you rank his disability score?
- What is a flail chest? Is that a breathing problem we need to address in the primary survey?
Test your knowledge
For the following traumatic injuries, (i) describe the trauma (what kind and where), (ii) what injuries you would suspect, and (iii) how would you work it up?
- Gunshot to the abdomen
- Fall off a 2-story ladder on your feet
- Car crash hitting your head on the windshield and knees against the dashboard
- Dove into a shallow pool
- Punched in the gut by Dr. Casey
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