TY  - CHAP
M1  - Book, Section
TI  - Initial Assessment
A1  - Fox, Adam D.
A1  - Livingston, David H.
A2  - Feliciano, David V.
A2  - Mattox, Kenneth L.
A2  - Moore, Ernest E.
Y1  - 2020
N1  - 
T2  - Trauma, 9e
AB  - KEY  POINTSThe  goal  of  the  initial  assessment  is  the  rapid  identification  and  treatment  of  life-threatening  injuries.Structured  handoffs  from  EMS  improve  communication  to  the  trauma  team.The  resuscitation  bay  should  contain  all  instruments  and  equipment  required  in  a  major  trauma.Trauma  team  composition  should  have  sufficient  personnel  to  both  assess  and  treat  the  severely  injured.The  team  leader  should  be  the  most  senior  person  on  the  team  with  an  understanding  of  injury.Coordination  of  care  by  the  team  leader  is  crucial  to  successful  trauma  assessments  and  resuscitation.The  initial  assessment  should  follow  the  standard  primary  and  secondary  survey  algorithms  as  outlined  in  Advanced  Trauma  Life  Support  (ATLS).Patients  who  arrive  in  shock  require  even  more  rapid  assessment  and  treatment  by  the  most  senior  personnel.Initiating  the  resuscitation  with  intraosseous  access  can  be  lifesaving  in  patients  in  shock.Early  arterial  access  for  subsequent  resuscitative  endovascular  balloon  occlusion  of  the  aorta  (REBOA)  deployment  should  be  considered  for  patients  presenting  with  subdiaphragmatic  life-threatening  hemorrhage.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/24
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1175131302
ER  -