Lesson 1Exposure and environmental control: complete undressing, warmers, preventing hypothermia, and rapid secondary survey prepDis part cover full exposure of patient to find injuries while stopping hypothermia. E go talk about safe undressing, privacy, warming methods, environmental control, and good preparation for quick but orderly secondary survey.
Safe removal of clothes and patient dignitySystematic head to toe visual checkUse of warm blankets and active warmersRoom temperature and warmed IV fluidsCoordination for rapid secondary surveyLesson 2Breathing assessment: inspection, auscultation, percussion, oxygenation targets, and bedside monitoringDis part review quick breathing check, including inspection, auscultation, percussion, and bedside monitoring. E go stress oxygenation targets, spotting life-threatening chest injuries, and putting immediate corrective actions first.
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 choicesDis part review airway maneuvers and adjuncts wey dem use during primary survey. E include jaw thrust, oropharyngeal and nasopharyngeal airways, reasons and steps for RSI, and choice of 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 criteriaDis part focus on quick airway check in trauma. E highlight signs of obstruction, predictors of difficult airway, reasons for immediate control, and criteria for quick intubation versus temporary adjuncts 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. clearanceDis part talk about cervical spine protection during initial trauma care. E cover manual inline stabilization, collar selection and fitting, 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 statusDis part explain resuscitation endpoints and monitoring during primary survey. E cover blood pressure and heart rate targets, urine output, mental status, lactate trends, and how to adjust actions based on dynamic 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 measuresDis part outline di brief neurologic check in primary survey. E explain quick GCS scoring, pupillary checks, limb movement, and immediate stabilization steps for suspected brain or spinal injury, including airway and perfusion 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 bleedingDis part explain circulation check during primary survey, focusing on quick detection of life-threatening hemorrhage, recognition of shock, targeted physical examination, and putting immediate bleeding control measures first.
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 pneumothoraxDis part detail immediate actions for life-threatening breathing problems. E cover needle decompression, tube thoracostomy, recognition of tension pneumothorax, and strategies to put procedures first within di 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 decisionsDis part focus on immediate hemorrhage control techniques used in primary survey. E detail direct pressure, tourniquets, pelvic binders, hemostatic dressings, and how FAST findings guide urgent operative or interventional 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 goalsDis part describe di structured ABCDE primary survey sequence and time goals. E stress putting life threats first, minimizing interruptions, team role allocation, and constant re-assessment to keep safe, efficient trauma workflow.
Overview of ABCDE survey prioritiesRecommended time targets for ABCDETeam roles and closed loop communicationManaging simultaneous interventionsReassessment after each ABCDE cycle
