ICU Vivas · Trauma & burns
Clinical viva — your approach to the major-trauma patient
A clinical viva on the structured approach to the major-trauma patient — the ATLS primary survey (ABCDE) with the parallel resuscitation, the damage-control resuscitation of the haemorrhage (the tranexamic acid, the 1:1:1, the permissive hypotension), the brain defence, and the secondary survey for the missed injury.
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Target exams
CICMFFICMEDIC
Prompt
A clinical viva on the structured approach to the major-trauma patient — the ATLS primary survey (ABCDE) with the parallel resuscitation, the damage-control resuscitation of the haemorrhage (the tranexamic acid, the 1:1:1, the permissive hypotension), the brain defence, and the secondary survey for the missed injury.
The question
"Take me through your approach to a patient brought in with major trauma."[1]
References3ShowHide
- [1]Shakur H, Roberts I, Bautista R, et al. Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2). Lancet, 2010.PMID 20554319
- [2]American College of Surgeons Committee on Trauma Advanced Trauma Life Support (ATLS) Student Course Manual. 10th edition, ACS, 2018.
- [3]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.