ATLS

1. ‫االنعاش‬
RESUSCITATION
ATLS
ADVANCED TRAUMA LIFE SUPPORT

2. WHAT TO DO FOR TRAUMATIZED PATIENT?
ATLS
management is :asses treat reasses
retreat.
primary survey and resuscitation
a,b,c,d,e .
a:airway :keep airway opened; clean the mouth
,remove the vomitus ,foreign body ,broken
tooth or blood .suction.
mask and airway ,or endotracheal tube or
tracheostomy.

3. CONT,D
b:breathing:either spontaneous or ventilated,
assisted ventilation ,with o2 supply and try to
wash co2 from the body and decreasing the
intracranial pressure and acidosis.
c:circulation and control of haemorrhage :
search for the source of bleeding ,external
(scalp,face,limbs),
or internal(ruptured spleen , haemothorax,
fracture pelvis),so resuscitation by control

4. CONT,D
haemorrhage and treat shock with fluid and
blood.
with c add cervical spine stabilisation by hard
cervical collar to avoid quadriplegia in masked
cervical injury.
d: disability: to asses the level of consciousness.
e:exposure:to undress the patient .
monitoring:b.p.,p.r.,r.r.,cvp line,ecg monitoring ,urine
out put.
urinary catheterisation ;for monitoring and

5. CONT,D
for diagnosis of any kidney,bladder,urethral injury.
nasogastric tube;to aspirate gastric
contents,diagnostic for any gastric injury,
or any upper g.i. truma.
all medications to be given by intravenous
route.

6. CPR

7. CONT,D
investigation of importance ;
-blood group and blood cross match.
-urgent CBC,HB%,.
-random blood sugar and , blood urea., serum
electolytes (NA,K,CL,CA,HCO3).
-arterial blood gases :PO2,PCO2,PH . sample
taken from the femoral artery. or radial artery.
imaging of importance during primary survey
1-x-ray cervical spine-lateral view.to exclude
cervical fracture or dislocation.

8. CONT,D
2-chest x-ray:to exclude haemothorax,or pneu
mothorax or haemopneumothorax .
3-x-ray pelvis: to exclude fracture with internal
haemorrhage.
4-abdominal ultrasound to exclude internal
haemorrhage.
5-ct scan body and or,brain accordingly.

9. SECONDARY SURVEY
for non- life threatening injury.
first short history-- ample history;
a:allergy
m:medication.
p :past history.
l:last meal.
e:events of the incident.
examination:
head to toe examination,to pick any missed inj-
ury like fractures or dislocations….etc.

10. DEFINITIVE THERAPY
to treat fractures or dislocations,to repair
cut tendons,to reconstruct some facial
deformity or fracture mandible.
some other plastic surgery.