Atls (Advanced Trauma Life Support) Teaching Protocol

ADJUNCTS TO THE SECONDARY SURVEY

These specialized tests should not be performed until the patient’s hemodynamic status has been normalized and the patient has been carefully examined.

• 
  Additional x-rays of the spine and extremities
  
• 
  CT of the head, chest, abdomen, and spine
  
• 
  Contrast urography
  
• 
  Angiography
  
• 
  Bronchoscopy
  
• 
  Esophagoscopy
  
• 
  Others
  

• 
  REEVALUATION
  

• 
  The trauma patient must be reevaluated constantly to assure that new findings are not overlooked.
  
• 
  A high index of suspicion
  
• 
  Continuous monitoring of vital signs and urinary output is essential.
  
• 
  ABG/cardiac monitoring/ pulse oximetry
  
• 
  Pain relive- IV opiates/anxiolytics.
  

• 
  DEFINITIVE CARE
  

• 
  Transfer to a trauma center or closest appropriate hospital.
  

• 
  TRAUMATIC SHOCK
  

•