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EM Clerkship

Trauma (Deep Dive R28)

EM Clerkship

Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

Health & Fitness, Science, Education, Medicine, Life Sciences

4.9 β€’ 816 Ratings

πŸ—“οΈ 15 December 2021

⏱️ 12 minutes

🧾️ Download transcript

Summary


ATLS – Advanced Traumatic Life Support



Primary Survey



* Airway* Breathing* Circulation* Disability* Exposure



Secondary Survey



* Head to Toe Examination* Look for injury patterns and important injuries, such as* Battle Sign (post auricular ecchymosis)* Raccoon Eyes (infraorbital ecchymosis)* Hemotympanum* Nasal Septal Hematoma* Urethral Injuries* Circumferential Burns* Obtain a basic medical history* Obtain XRs, FAST exam, CT scans



Tertiary Survey



* Repeat the examination portion of the secondary survey to ensure no minor injuries were missed



Further Reading:



Unbound Medicine – ATLS Outline

Transcript

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0:00.0

Hello everyone. My name is Mike Estefan and I thank you for joining me today on this episode of the EM Clerkship podcast.

0:08.0

Today is going to be another deep dive, this time on the topic of trauma.

0:13.0

This episode is sponsored by Pearson Rabbit's Insurance.

0:16.0

Pearson Rabbit is an insurance agency that specializes in securing disability and life insurance

0:22.4

policies for physicians and other health care professionals. Zach and I both personally use

0:27.7

Pearson Rabbits for our insurance needs and would not be recommending their services if we did

0:32.7

not think they were anything but excellent. Even if you are not currently interested in their

0:37.3

services,

0:38.1

they have a really interesting blog on their website where they post articles directly related

0:42.5

to disability and life insurance for physicians. I recently discovered this blog and have learned so

0:48.3

much from just reading their posts. Did you know that self-prescribing medications can make

0:53.3

obtaining a disability insurance policy much more difficult to obtain?

0:57.8

I sure didn't. Check out this blog and the rest of what they have to offer at www.personravitz.com.

1:06.0

Now, back to our episode. Let's start by talking about advanced traumatic life support, or ATLS, for short.

1:13.4

ATLS is kind of like ACLS, but for trauma. I believe most, if not all, trauma centers in the United

1:20.3

States require their ED providers to be ATLS certified. It is a widely used algorithmic approach

1:27.2

to the resuscitation of trauma patients.

1:30.4

Every trauma resuscitation begins with what we call the primary survey. And after the primary

1:35.8

survey is complete, we move on to the secondary survey. Sometime after the secondary survey is complete,

1:42.4

a tertiary survey takes place.

1:45.0

Let's work through a hypothetical scenario.

1:47.0

Over the base command radio, you learn that EMS has activated a trauma alert for a severe motor vehicle collision with an ETA of two minutes.

...

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