trauma

1. DR NUAMAN DANAWAR
SENIOR REGISTRAR GENERAL SURGERY
SECURITY FORCES HOSPITAL, DAMMAM

2. Trauma primary survey
ABCDE
ADVANCED TRAUMA LIFE SUPPORT ATLS

3. History of ATLS
•ATLS has its origins in the United States in 1976,
when James K. Styner, an orthopedic surgeon piloting a
light aircraft, crashed his plane into a field in Nebraska.
His wife Charlene was killed instantly and three of his
four children, Richard, Randy, and Kim sustained critical
injuries. His son Chris suffered a broken arm. He carried
out the initial triage of his children at the crash site. Dr.
Styner had to flag down a car to transport him to the
nearest hospital; upon arrival, he found it closed. Even
once the hospital was opened and a doctor called in,
he found that the emergency care provided at the
small regional hospital where they were treated was
inadequate and inappropriate

4. goals of ATLS
To recognize and treat the life
threading injuries
simultaneously in a team
approach

5. epidemiology
Trauma is the most common
cause of death In young adult
Very common in KSA

6. Tri-modal distribution of death in trauma

7. ADCDE?

33. Take home massage
there’s no “I” in trauma… Trauma is best
managed by a team approach
Once a life threatening injury is discovered,
intervention should not be delayed
No diagnosis dose not means no resuscitation
Primary survey= evaluates the physiology while
secondary survey evaluates the anatomy

34. Thank you