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major trauma centre

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1.5 - Initial Assessment and Management of the Trauma Patient
from Section 1 - Resuscitation and Management of the Acutely Ill Patient
- By Anil Dhadwal
Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
Book:

Intensive Care Medicine

Published online:

27 July 2023

Print publication:

01 December 2021, pp 11-13
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Summary

Key Learning Points
1. Initial assessment and management of a trauma patient require a structured team approach, with good communication and leadership. Often this is best coordinated by someone standing back from the action, and thus able to take account of the whole unfolding scenario.
2. All members should have appropriate personal protection equipment, especially with the recent global coronavirus disease (COVID-19) pandemic.
3. The primary survey using an ABCDE approach is undertaken with the aim to rule out, and treat, any life-threatening injuries.
4. Once the patient has been stabilised with regard to the initial insult, then a full head-to-toe secondary survey examination needs to be performed to identify, treat and document any remaining injuries present.
5. It is important to ask the question: ‘Do the patient’s treatment needs exceed the capability of this receiving institution?’. If the answer is yes, then urgent referral should be made to a major trauma centre.