- Mailbag Questions8:23Paper Chase #1 | Safely Discharging After Submersion Injury4:09What Would I Do Next? | Urinary Retention17:27Trauma Basics | Part 1Free Chapter11:24Paper Chase #2 | Normal Saline vs Balanced Solutions4:24Clinical Conundrums - Trigeminal Neuralgia13:415 Meds Not To Rx in Urgent Care18:27Paper Chase #3 | AKI & Hyperkalemia With Trimethoprim4:22Treating Friends & Family17:43Trauma Basics | Part 217:08Paper Chase #4 | Clinical Gestalt vs Decision Aids In Pediatric Head Injury4:31Hyperemesis Gravidarum20:26Excellence in Physical Exam Series | The Wrist15:35Paper Chase #5 | Rudeness Effects Team Performance3:55Fever in the Returning Traveler22:01The Summary17:49
Trauma Basics | Part 1
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Miz sits with colleague Jaime Hope MD to discuss initial trauma management in the UC setting.
Methodically move through the primary and secondary survey to make sure nothing is missed
If there are any red flags on the primary survey call 911 immediately and get the patient to the nearest trauma center
PRIMARY SURVEY - “ABCDs”
Airway - Is the patient talking? Is the speech muffled? Is the airway patent?
Breathing - Does the patient have symmetric breath sounds, equal chest rise and fall? Are there decreased breath sounds concerning for a pneumo or hemothorax? Is there a seat belt sign or crepitus to the chest wall?
Circulation - Does the patient have intact and symmetric radial, femoral and pedal pulses? Is the blood pressure normal? Is there any active bleeding that requires immediate hemorrhage control? If ultrasound is available, is the E-FAST negative?
Disability - What is the patient’s Glasgow Coma Scale? Do they have any neurologic deficits? Is their mentation appropriate? Do they have symmetric sensation and motor strength?
Exposure - Place the patient in a gown and assess for any evidence of hemorrhage, bruising, bony tenderness or soft tissue tenderness to palpation.