After completion of the acute survey and associated life-saving treatments as needed, the secondary survey may begin. If a large enough trauma team is present, the secondary survey can start before the primary survey is finished, but must not interfere.
The goal of the secondary survey is to identify clearly every significant injury and relevant medical condition.
|Injured patient with possible pelvic injury and/or hemodynamic instability|
All polytrauma patients with suspected pelvic injury should be initially evaluated and treated according to ATLS protocol.
|Basic surgical experience, no specialized skills|
|Some specialized surgical experience|
|Highly experienced and skilled surgeon|
|Basic equipment only|
|Simple surgical and imaging resources|
|Full specialized surgical and imaging resources|