atls - جهش تولیدems.mui.ac.ir/sites/ems.mui.ac.ir/files/atls.pdf · atls multiple trauma...
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ATLS MULTIPLE TRAUMA
First peak: second to minutes
apnea due to severe brain injury-high spinal
cord injury
rapture of heart aorta large vessels
Second peak: minutes to hours
SDH EDH HTX PTX
peripheral large vessels
Third peak: several day to week
sepsis multiple organ dysfunction :
Preparation:
Prehospital phase: airway maintenance – control of
external bleeding – immobilization – immediate transport – triage
hospital phase: proper airway equipment – warmed
intravenous crystalloid – monitoring – LAB/Radiology personel
protection(face mask-eye protection-legging-gloves-vaccination)
Triage: multi casualties
mass casualties
Primary Survey
ss
Secondary Survey
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