Trauma (Deep Dive R28)
EM Clerkship
Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD
4.9 β’ 816 Ratings
ποΈ 15 December 2021
β±οΈ 12 minutes
ποΈ Recording | iTunes | RSS
π§ΎοΈ Download transcript
Summary
ATLS β 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 β 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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