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Trauma Basics | Part 1

Mizuho Morrison, DO and Jaime Hope, MD
00:00
11:24

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Miz sits with colleague Jaime Hope MD to discuss initial trauma management in the UC setting.

Pearls:

  • 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.

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TRAUMArama Full episode audio for MD edition 200:28 min - 94 MB - M4AHippo Urgent Care June 2018 Written Summary 1 MB - PDF

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