The document discusses the ATLS (Advanced Trauma Life Support) concept for managing trauma. It describes ATLS as an internationally recognized system that teaches a methodical approach to rapidly assess and treat life-threatening injuries in trauma patients. The steps include: (1) conducting a primary survey to evaluate the patient's airway, breathing, circulation, disability and exposure; (2) performing a secondary survey involving a full physical exam and history; and (3) re-evaluating the patient to ensure all injuries are identified and managed. The goal of ATLS and trauma management overall is to prevent death by treating life-threatening conditions as the top priority, especially within the "Golden Hour" period after injury.

1. The ATLS
concept
GENERAL MANAGEMENT
OF TRAUMA

2.  A serious injury to the body that maybe life-threatening
 Malaysia – mainly from MVA
WHAT IS TRAUMA?

3.  Prevent death
 Mainly second
peak of death
 GOLDEN HOUR!
AIM OF MANAGEMENT

4. Pre – hospital
Triage
Hospital m(x) - ATLS
STEPS IN MANAGEMENT

5. PRE-HOSPITAL
Comprehensive on site
management

6. PRE-HOSPITAL
‘Scoop and run’ concept!

7.  A system to sort cases based on priority especially in mass
disasters
 Many don’t understand leading to complaints (6 hour UMMC)
TRIAGE

8. TRIAGE

9.  Introduced by Ortho
surgeon
 Treat the life-threatening
condition first
 Approach trauma in an
organized and sequential
manner
 Internationally recognized
HOSPITAL M(X) - ATLS CONCEPT

10. ATLS CONCEPT

11.  Rapid assessment and treatment of life-threatening injuries
PRIMARY SURVEY
A •Airway (with c-spine)
B •Breathing
C •Circulation
D •Disability
E •Exposure

12. PRIMARY SURVEY

13. A – AIRWAY (WITH C-SPINE)

14. A – AIRWAY (WITH C-SPINE)

15. A – AIRWAY (WITH C-SPINE)
Oropharyngeal airway

16. A – AIRWAY (WITH C-SPINE)

17. A clear airway does not mean the patient
is breathing adequately
Is required to provide adequate tissue
oxygenation
Once airway secure, a complete
examination of the lungs MUST be done
B - BREATHING

18. B - BREATHING
• LOOK
• LISTEN
• FEEL

19. B - BREATHING
LOOK
ANY TACHYPNEA?

20. B - BREATHING
LISTEN
Abnormal or absent breath sounds

21. B - BREATHING
FEEL
Perform percussion:
Looking for hyper resonance or
dullness

22. B - BREATHING
Tracheal palpation:
Looking for deviation

23. B - BREATHING
TENSION
PNEUMOTHORAX:
- No chest excursion
- Absent breath
sounds
- Hyper resonance
- Tracheal deviation
away

24. C - CIRCULATION

25. C - CIRCULATION
Examine for signs of
shock:
- Tachycardia
- Diminished pulse
- Pallor
- Reduce CPR

26. C - CIRCULATION
- Insert 2 large
bore branula
- Send for blood!
- Transfuse!

27. D – DISABILITY

28. E - EXPOSURE
- Not to miss
anything
- Ensure not
hypothermic

29. History
Complete physical examination
‘tubes and fingers in every
orifice’
Neurological examination
Re-evaluation
SECONDARY SURVEY

30. THANK YOU!