Executive Editor: Peter Trafton

Pelvic ring - Primary survey

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Glossary

General considerations

ATLS ® is a systematic approach (developed by of The American College of Surgeons) to identify and urgently treat life threatening injuries It is essential for all trauma patients.

Our summary does not substitute for attendance at a formal ATLS course, which is strongly recommended for all who care for injured patients.

These following issues are addressed in sequence:

A = Airway, with cervical spine protection

B = Breathing

C = Circulation & bleeding control

D = Disability (Neurologic) status

E = Exposure (undressing) and Environment

This is followed by the secondary survey. Both primary and secondary survey should be surveys competed before the patient has time to deteriorate physiologically, the so called "golden hour".

Before proceeding with definitive repairs, the patient must be fully resuscitated, fully evaluated, and fit for anesthesia and surgery by a prepared team.

Airway
Main indication Skill Equipment
ATLS step number 1 Some specialized surgical experience Basic equipment only

Prompt correction of airway obstruction to restoring respiratory function.

Breathing
Main indication Skill Equipment
ATLS step number 2 Some specialized surgical experience Basic equipment only

Uncorrected respiratory failure is rapidly fatal.

Circulation
Main indication Skill Equipment
ATLS step number 3 Some specialized surgical experience Basic equipment only

After respiratory failure, circulatory failure is the next rapidly fatal condition.

Disability
Main indication Skill Equipment
ATLS step number 4 Some specialized surgical experience Basic equipment only

Some traumatic brain injuries require urgent surgery. Correction of respiratory and circulatory abnormalities takes precedence.

Exposure and environmental control
Main indication Skill Equipment
ATLS step number 5 Some specialized surgical experience Basic equipment only

Clothing removal is necessary to avoid missing injuries. Hypothermia interferes with trauma resuscitation.

*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

2016-10-20