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ATLS 10th Edition Updates
ATLS
Dr.abd elaal elbahnasy Egypt
New changed chapters
Dr.abd elaal elbahnasy Egypt
INITIAL ASSESSMENT
Dr.abd elaal elbahnasy Egypt
Airway + C- spine protection
Dr.abd elaal elbahnasy Egypt
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
Dr.abd elaal elbahnasy Egypt
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)
Dr.abd elaal elbahnasy Egypt
Flail chest out of
life threatening
Trachobronchial
injury is life
threatening
Dr.abd elaal elbahnasy Egypt
Needle
decompression of
tension
pneumothorax at
5TH ICS Mid Axillary
line opportunity
success than the
original location 2nd
ics midclavicular.
Open
thoracotomy
Dr.abd elaal elbahnasy Egypt
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
Dr.abd elaal elbahnasy Egypt
Head trauma
GCS changed (pressure)
ask about history eating
anti-coagulant
Prevent convulsion
SBP management
Trauma team
Dr.abd elaal elbahnasy Egypt
Dr.abd elaal elbahnasy Egypt
Spinal trauma
Dr.abd elaal elbahnasy Egypt
Muscloskletal
Weight based antibiotic
regimen
Risk factor for bilateral
femur fracture
Trauma team
Dr.abd elaal elbahnasy Egypt
Pediatric
Limiting crystalloid resuscitation
Needle thoracocentasis in 2nd ics
Trauma team
DOPE mnemonic
Dislodgment-obstruction-pneumothorax-
equipment failure
Dr.abd elaal elbahnasy Egypt
Geriatric
Mortality &morbidity :
 IHD
 COPD
 DM
 CIRRHOSIS
 COAGULOPATHY
 PELVICTRAUMA Increase mortality
 TRAUMATEAM
Dr.abd elaal elbahnasy Egypt
Pregnancy
Dr.abd elaal elbahnasy Egypt
BURN
reduction
fluid from
3-4 ml to 2
ml
2 x
% burn x bw.
Dr.abd elaal elbahnasy Egypt
Transfer to definitive care
S SITUATION
B BACKGROUND
A ASESSMENT
R RECOMMENDATION
 No CT in primary hospital
 Trauma team
Dr.abd elaal elbahnasy Egypt
Dr.abd elaal elbahnasy Egypt
THANKYOU
ER_REDSEA@YAHOO.COM
Dr.abd Elaal Elbahnasy Egypt

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