ATLS 10th
Primary survey - ANS(A) Airway with cervical spine protection (restrict)
(B) Breathing and ventilation
(C) Circulation - stop the bleeding
(D) Disability - neurological status
(E) Exposure - undress and environment (temp control)
REPEAT IF ANYTHING GOES WRONG
Secondary survey - ANS(A) Allergies
(M) Medications
(P) PMH and Pregnancies
(L) Last meal
(E) Environment and Events
3-3-2 Rule - ANS3 finger lengths between upper and lower incisors
3 finger lengths between hyoid and chin
2 finger lengths between thyroid notch and floor of mouth
LEMON - ANS(L) Look (visualize)
(E) Evaluate 3-3-2 Rule
(M) Mallampati (tongue obstruction)
(O) Obstruction
(N) Neck mobility
MIST - ANS(M) Mechanism
(I) Injury pattern
(S) Signs
(T) Treatment given
Rapid assessment - ANSInitial assessment lasting 10 seconds
- Touch the patient
- Identify yourself
- Ask the patient's name
- Ask what happened
Massive transfusion - ANS- 4 units over 1 hour
- 10 units over 24 hours
Urine output goals - ANSAdults - 0.5 ml/kg/hr
Kids - 1.0 ml/kg/hr
Infants - 2.0 ml/kg/hr
Primary survey - ANS(A) Airway with cervical spine protection (restrict)
(B) Breathing and ventilation
(C) Circulation - stop the bleeding
(D) Disability - neurological status
(E) Exposure - undress and environment (temp control)
REPEAT IF ANYTHING GOES WRONG
Secondary survey - ANS(A) Allergies
(M) Medications
(P) PMH and Pregnancies
(L) Last meal
(E) Environment and Events
3-3-2 Rule - ANS3 finger lengths between upper and lower incisors
3 finger lengths between hyoid and chin
2 finger lengths between thyroid notch and floor of mouth
LEMON - ANS(L) Look (visualize)
(E) Evaluate 3-3-2 Rule
(M) Mallampati (tongue obstruction)
(O) Obstruction
(N) Neck mobility
MIST - ANS(M) Mechanism
(I) Injury pattern
(S) Signs
(T) Treatment given
Rapid assessment - ANSInitial assessment lasting 10 seconds
- Touch the patient
- Identify yourself
- Ask the patient's name
- Ask what happened
Massive transfusion - ANS- 4 units over 1 hour
- 10 units over 24 hours
Urine output goals - ANSAdults - 0.5 ml/kg/hr
Kids - 1.0 ml/kg/hr
Infants - 2.0 ml/kg/hr
