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from Section 1 - Resuscitation and Management of the Acutely Ill Patient
Published online by Cambridge University Press: 27 July 2023
Key Learning Points
1. Initial assessment and management of a trauma patient require a structured team approach, with good communication and leadership. Often this is best coordinated by someone standing back from the action, and thus able to take account of the whole unfolding scenario.
2. All members should have appropriate personal protection equipment, especially with the recent global coronavirus disease (COVID-19) pandemic.
3. The primary survey using an ABCDE approach is undertaken with the aim to rule out, and treat, any life-threatening injuries.
4. Once the patient has been stabilised with regard to the initial insult, then a full head-to-toe secondary survey examination needs to be performed to identify, treat and document any remaining injuries present.
5. It is important to ask the question: ‘Do the patient’s treatment needs exceed the capability of this receiving institution?’. If the answer is yes, then urgent referral should be made to a major trauma centre.
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