Abstract

Trauma is one of the primary causes of death for patients under the age of 44. Traumatic injuries are “time sensitive” where initial interventions are based on physiological derangements, and classical signs and symptoms which commonly occur based on the mechanism and pattern of injury. The primary survey focuses on maintaining life with the assessment of airway, breathing, circulation with hemorrhage control, and evaluation of neurological disability. Once exposure is obtained and the patient is stabilized, a detailed history is obtained and a complete physical examination must be done. This is the secondary survey. Thoracic injury, abdominal, pelvic and extremity injury are evaluated as well as the possibility of traumatic brain injury. The initial management of acute traumatic shock follows well established guidelines with the principle focus being damage control in order to optimize the patient’s likelihood of a successful outcome.