Lesson 1Exposure and environmental control: complete undressing, warmers, preventing hypothermia, and rapid secondary survey prepThis part covers full patient exposure to find injuries while stopping hypothermia. It talks about safe undressing, privacy, warming methods, environmental control, and quick preparation for a fast but orderly secondary survey.
Safe clothing removal and patient dignitySystematic head to toe visual inspectionUse of warm blankets and active warmersRoom temperature and warmed IV fluidsCoordination for rapid secondary surveyLesson 2Breathing assessment: inspection, auscultation, percussion, oxygenation targets, and bedside monitoringThis part reviews quick breathing check, including looking, listening, tapping, and bedside monitoring. It stresses oxygenation goals, spotting life-threatening chest injuries, and prioritizing immediate fixes.
Inspection for chest rise and deformityAuscultation for breath sound asymmetryPercussion for hyperresonance or dullnessPulse oximetry and waveform evaluationOxygenation and ventilation targetsLesson 3Airway maneuvers and adjuncts: jaw-thrust, oral/nasopharyngeal airways, RSI steps and drug choicesThis part reviews airway moves and tools used in primary survey. It includes jaw thrust, mouth and nose airways, reasons and steps for RSI, and picking induction and paralytic drugs in trauma.
Jaw thrust and manual airway openingUse of oropharyngeal airwaysUse of nasopharyngeal airwaysPreoxygenation and RSI preparationDrug choices and dosing in RSILesson 4Airway assessment: signs of obstruction, indications for immediate airway control, and rapid intubation criteriaThis part focuses on quick airway check in trauma. It highlights obstruction signs, tough airway predictors, reasons for immediate control, and criteria for fast intubation versus temporary tools or surgical airway.
Visible obstruction and noisy breathingAssessment of airway burns and edemaPredictors of difficult laryngoscopyIndications for immediate intubationWhen to consider surgical airwayLesson 5C-spine protection: manual inline stabilization, collar types, and indications for immobilization vs. clearanceThis part addresses neck spine protection in initial trauma care. It covers manual inline stabilization, collar choice and fit, reasons for immobilization, and criteria for safe clearance using clinical and imaging paths.
Manual inline stabilization techniquesChoosing and sizing cervical collarsProper collar application and pitfallsClinical criteria for C-spine clearanceImaging indications for C-spine injuryLesson 6Resuscitation endpoints and monitoring during primary survey: blood pressure targets, heart rate, urine output, and mental statusThis part explains resuscitation goals and monitoring during primary survey. It covers blood pressure and heart rate targets, urine output, mental status, lactate trends, and how to adjust actions based on patient response.
Target blood pressure in trauma shockHeart rate and rhythm trend analysisUrine output as perfusion indicatorMental status and serial GCS checksUse of lactate and base deficitLesson 7Disability brief neuro assessment (GCS) and immediate neurologic stabilization measuresThis part outlines brief brain and nerve check in primary survey. It explains quick GCS scoring, pupil checks, limb movement, and immediate stabilization for suspected brain or spine injury, including airway and blood flow optimization.
Rapid GCS components and scoringPupil size, symmetry, and reactivityMotor and sensory limb assessmentSigns of raised intracranial pressureImmediate neuroprotective measuresLesson 8Circulation assessment: hemorrhage control priorities, signs of shock, focused physical exam for major bleedingThis part explains blood flow check during primary survey, focusing on quick detection of life-threatening bleeding, shock recognition, targeted physical exam, and prioritizing immediate bleeding control.
Central and peripheral pulse assessmentSkin color, temperature, and capillary refillBlood pressure trends and shock index useFocused exam for external and internal bleedingEarly IV or IO access and blood samplingLesson 9Immediate interventions for breathing threats: needle decompression, tube thoracostomy, and strategies for tension pneumothoraxThis part details immediate actions for life-threatening breathing issues. It covers needle decompression, chest tube insertion, tension pneumothorax recognition, and strategies to prioritize procedures in time-critical primary survey.
Recognition of tension pneumothoraxSites and technique for needle decompressionIndications for tube thoracostomyChest tube insertion steps and checksPost procedure monitoring and reassessmentLesson 10Immediate hemorrhage control: direct pressure, tourniquets, pelvic binders, hemostatic dressings, and FAST-guided decisionsThis part focuses on immediate bleeding control techniques in primary survey. It details direct pressure, tourniquets, pelvic binders, hemostatic dressings, and how FAST findings guide urgent surgery or intervention decisions.
Effective application of direct pressureIndications and placement of tourniquetsPelvic binder sizing and positioningSelection and use of hemostatic dressingsIntegrating FAST results into decisionsLesson 11Structured primary survey (ABCDE) sequence and time goalsThis part describes the structured ABCDE primary survey sequence and time goals. It stresses prioritizing life threats, minimizing interruptions, team role allocation, and continuous reassessment for safe, efficient trauma workflow.
Overview of ABCDE survey prioritiesRecommended time targets for ABCDETeam roles and closed loop communicationManaging simultaneous interventionsReassessment after each ABCDE cycle
