The document discusses the initial assessment and management of trauma patients. It outlines the primary survey which focuses on identifying life-threatening conditions in the order of ABCDE - Airway, Breathing, Circulation, Disability, and Exposure. Maintaining the cervical spine is also a priority. Securing the airway may involve endotracheal intubation while assuming the cervical spine is unstable. Circulation is assessed through vital signs, pulses, and signs of shock with treatment of external and internal hemorrhage.

1. Trauma – initial assessement and management. Paweł Grala Klinika Chirurgii Urazowej, Leczenia Oparzeń, Chirurgii Plastycznej AM w Poznaniu Kierownik Kliniki: Prof. dr hab. med. Krzysztof Słowiński

2. “ Trauma ” - expression comprising a spectrum of severity of mechanical violation of tissues, from a little scratch to a multiply injured patient. - also surgical intervention.

3. seconds to minutes minutes to hours GOLDEN HOUR several days or weeks Trauma - the leading cause of death in the first four decades of life Death from trauma has a trimodal distribution: within

5. An organized consistent approach to the trauma patient  optimal outcome. The Advanced Trauma Life Support (ATLS) adopted by the American College of Surgeons in 1979. The primary focus of ATLS is on the first hour of trauma management - rapid assessment and resuscitation THE GOLDEN HOUR