Lesson 1Exposure and environmental control: complete undressing, warmers, preventing hypothermia, and rapid secondary survey prepThis part covers fully exposing patient to find injuries while stopping cold sickness. It talks safe undressing, privacy, warming ways, room control, and quick prep for fast but orderly secondary check in local settings.
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 with stethoscope, tapping, and bed monitoring. It stresses oxygen goals, spotting life-danger chest hurts, and putting immediate fixes first in trauma care.
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 helpers in primary survey. It includes jaw push, mouth and nose airways, when and steps for RSI, and picking induction and paralyze drugs for trauma in South Sudan.
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 points out block signs, hard airway predictors, when to control right away, and rules for fast tube vs temp helpers or surgery 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 deals with neck spine safety in early trauma care. It covers hand steady hold, collar pick and fit, when to hold still, and safe clear rules using clinic and scan paths in local care.
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 revival end points and watch during primary survey. It covers blood pressure and heart beat goals, urine flow, mind state, lactate changes, and how to tweak actions on patient shifts.
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 short nerve check in primary survey. It explains quick GCS score, eye pupil checks, limb moves, and right away steady steps for brain or spine hurt, including airway and blood flow fix.
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 in primary survey, focusing quick spot of life-danger bleed, shock spot, aimed body exam, and put first immediate bleed stop steps in South Sudan trauma.
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 right away actions for life-danger breathing issues. It covers needle air release, chest tube put, tension air in chest spot, and ways to put procedures first in urgent 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 right away bleed stop tools in primary survey. It details direct press, limb ties, pelvis wraps, stop-bleed packs, and how FAST scans guide urgent surgery or fix choices.
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 ordered ABCDE primary survey steps and time aims. It stresses put life dangers first, cut stops, team job share, and ongoing check to keep safe, quick trauma flow in local areas.
Overview of ABCDE survey prioritiesRecommended time targets for ABCDETeam roles and closed loop communicationManaging simultaneous interventionsReassessment after each ABCDE cycle
