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ATLS Overview by DR.MUMTAZ ALI NAREJO.pptx

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Neurosurgeon Mumtaz Ali Narejo

Brief overview of ATLS course

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ATLS COURSE OVERVIEW DR.MUMTAZ ALI NAREJO ASSISSTANT PROFESSOR & INCHARGE NEUROSURGERY DEPARTMENT LIMHS/CIVIL HOSPITAL THATTA
OUTLINES Program Goal Objectives Need Trimodal death distribution History Concept & Impact Refrences
PROGRAM GOAL Safe and reliable method : immediate treatment of injured patients Basic knowledge necessary to: Assess a patients condition rapidly and accurately Resuscitate & stabilize patients : Priority Patients needs > resources of a facility /capability of provider Arrange appropriately for a patients interhospital or intrahospital transfer. Ensure that optimal care is provided & level of care does not deteriorate at any point
OBJECTIVES Content & skills : assist doctors in providing emergency care for trauma Golden hour : urgency necessary for successful treatment identify & treat : life-threatening & potentially life-threatening injuries Participants will be able to: Demonstrate the concepts and principles of the primary and secondary assessments Establish management priorities in a trauma situation Initiate primary and secondary management necessary for the emergency management of acute life-threatening conditions in a timely manner Perform following skills :
OBJECTIVES Primary and secondary assessment Establishment of a patent airway Initiation of assisted ventilations Orotracheal intubation on adult and infant Pulse oximetry and carbon dioxide detection in exhaled gas Cricothyroidotomy Assessment and treatment of shock
OBJECTIVES Intraosseous access Pleural decompression via needle or finger & chest tube insertion Recognition of cardiac tamponade and appropriate treatment Clinical and radiographic identification of thoracic injuries Use of peritoneal lavage, FAST, CT in abdominal evaluation Evaluation and treatment of a patient with brain injury (GCS & CT) Protection of the spinal cord & radiographic & clinical evaluation of spine injuries Musculoskeletal trauma assessment & management
THE NEED WHO & CDC Death : 9/min Death 5.8M/year Burden : 18% MVC : 80%
TRIMODAL DEATH DISTRIBUTION 1982 1st Peak : sec to min Death : apnea Severe brain or high spinal cord injury Rupture of the heart, aorta, or other large blood vessels Very few : saved 2nd Peak : min to several hours Subdural and epidural hematomas Hemopneumothorax, ruptured spleen, lacerations of the liver, pelvic fractures Multiple injuries associated with significant blood loss 3rd Peak : Several days to weeks Sepsis & MOSD
ATLS Overview by DR.MUMTAZ ALI NAREJO.pptx
HISTORY Delivery of trauma care : 1980 = Inconsistent Feb 1976 : Tragedy : Rural Nebraska cornfield Plan crash : Orthopedics surgeon with family 1st ATLS course : 1978 Appropriate & timely management reduces morbidity & mortality Course development & dissemination : 1980 International dissemination
THE CONCEPT & IMPACT Treat the greatest threat to life first Never allow the lack of definitive diagnosis to impede the application of an indicated treatment. A detailed history is not essential to begin the evaluation of a patient with acute injuries Result : ABCDE Impact : mortality & morbidity reduced
ATLS Overview by DR.MUMTAZ ALI NAREJO.pptx
REFRENCES Advance trauma life support student course manual book 10th edition
THANKYOU

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ATLS Overview by DR.MUMTAZ ALI NAREJO.pptx

  • 1. ATLS COURSE OVERVIEW DR.MUMTAZ ALI NAREJO ASSISSTANT PROFESSOR & INCHARGE NEUROSURGERY DEPARTMENT LIMHS/CIVIL HOSPITAL THATTA
  • 2. OUTLINES Program Goal Objectives Need Trimodal death distribution History Concept & Impact Refrences
  • 3. PROGRAM GOAL Safe and reliable method : immediate treatment of injured patients Basic knowledge necessary to: Assess a patients condition rapidly and accurately Resuscitate & stabilize patients : Priority Patients needs > resources of a facility /capability of provider Arrange appropriately for a patients interhospital or intrahospital transfer. Ensure that optimal care is provided & level of care does not deteriorate at any point
  • 4. OBJECTIVES Content & skills : assist doctors in providing emergency care for trauma Golden hour : urgency necessary for successful treatment identify & treat : life-threatening & potentially life-threatening injuries Participants will be able to: Demonstrate the concepts and principles of the primary and secondary assessments Establish management priorities in a trauma situation Initiate primary and secondary management necessary for the emergency management of acute life-threatening conditions in a timely manner Perform following skills :
  • 5. OBJECTIVES Primary and secondary assessment Establishment of a patent airway Initiation of assisted ventilations Orotracheal intubation on adult and infant Pulse oximetry and carbon dioxide detection in exhaled gas Cricothyroidotomy Assessment and treatment of shock
  • 6. OBJECTIVES Intraosseous access Pleural decompression via needle or finger & chest tube insertion Recognition of cardiac tamponade and appropriate treatment Clinical and radiographic identification of thoracic injuries Use of peritoneal lavage, FAST, CT in abdominal evaluation Evaluation and treatment of a patient with brain injury (GCS & CT) Protection of the spinal cord & radiographic & clinical evaluation of spine injuries Musculoskeletal trauma assessment & management
  • 7. THE NEED WHO & CDC Death : 9/min Death 5.8M/year Burden : 18% MVC : 80%
  • 8. TRIMODAL DEATH DISTRIBUTION 1982 1st Peak : sec to min Death : apnea Severe brain or high spinal cord injury Rupture of the heart, aorta, or other large blood vessels Very few : saved 2nd Peak : min to several hours Subdural and epidural hematomas Hemopneumothorax, ruptured spleen, lacerations of the liver, pelvic fractures Multiple injuries associated with significant blood loss 3rd Peak : Several days to weeks Sepsis & MOSD
  • 10. HISTORY Delivery of trauma care : 1980 = Inconsistent Feb 1976 : Tragedy : Rural Nebraska cornfield Plan crash : Orthopedics surgeon with family 1st ATLS course : 1978 Appropriate & timely management reduces morbidity & mortality Course development & dissemination : 1980 International dissemination
  • 11. THE CONCEPT & IMPACT Treat the greatest threat to life first Never allow the lack of definitive diagnosis to impede the application of an indicated treatment. A detailed history is not essential to begin the evaluation of a patient with acute injuries Result : ABCDE Impact : mortality & morbidity reduced
  • 13. REFRENCES Advance trauma life support student course manual book 10th edition