short notes Atls 10th edition updates

1. ATLS 10th Edition Updates
ATLS
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2. New changed chapters
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3. INITIAL ASSESSMENT
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4. Airway + C- spine protection
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5. Shock
prehospital tranexamic acid can be to have drip in 10 min
at least 1 G Q 8 HR.
MANAGEMENT OF COAGULOPATHY
open line with a big number 18
Massive transfusion protocal (1:1:1)
Massive transfusion more than 10 u in 24 hor 4 u in one
hour
Early blood transfusion
TRAUMATEAM
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6. Thoracic trauma
E- fast help to diagnose
pneumo / hemothorax
better and faster than
c-xr
icd put smaller
number
(the number 28-32
is enough)
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7. Flail chest out of
life threatening
Trachobronchial
injury is life
threatening
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8. Needle
decompression of
tension
pneumothorax at
5TH ICS Mid Axillary
line opportunity
success than the
original location 2nd
ics midclavicular.
Open
thoracotomy

9. Dr.abd elaal elbahnasy Egypt

10. Abdomino pelvic trauma
Palpation of prostate not
recommended for diagnose
urethral injury
Blood in the abdomen and pelvis
can prevent using the pelvic wrap
hurry talk to the surgeon to do pre
peritoneal packing
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11. Head trauma
GCS changed (pressure)
ask about history eating
anti-coagulant
Prevent convulsion
SBP management
Trauma team
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12. Dr.abd elaal elbahnasy Egypt

13. Spinal trauma
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14. Muscloskletal
Weight based antibiotic
regimen
Risk factor for bilateral
femur fracture
Trauma team
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15. Pediatric
Limiting crystalloid resuscitation
Needle thoracocentasis in 2nd ics
Trauma team
DOPE mnemonic
Dislodgment-obstruction-pneumothorax-
equipment failure
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16. Geriatric
Mortality &morbidity :
 IHD
 COPD
 DM
 CIRRHOSIS
 COAGULOPATHY
 PELVICTRAUMA Increase mortality
 TRAUMATEAM
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17. Pregnancy
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18. BURN
reduction
fluid from
3-4 ml to 2
ml
2 x
% burn x bw.
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19. Transfer to definitive care
S SITUATION
B BACKGROUND
A ASESSMENT
R RECOMMENDATION
 No CT in primary hospital
 Trauma team
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20. Dr.abd elaal elbahnasy Egypt

21. THANKYOU
ER_REDSEA@YAHOO.COM
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