ATLS | Initial Assessment

STAT Stitch Deep Dive Podcast Beyond The Bedside by Regular Guy

Episode notes

🫁 Airway Compromise & Obstruction (A)

Pathophysiology: Life-threatening blockage → prevents gas exchange. Causes: foreign bodies, fractures, blood/secretions, trauma, ↓LOC (GCS ≤8). Failure to speak/respond = urgent airway issue. 💊 TXA: ↓bleeding, ↑survival if given ≤3 hrs post-injury. Continue infusion 8 hrs after bolus. Team Roles: 👨‍⚕️ Leader → directs & coordinates 👩‍⚕️ Airway manager → secures airway 👩‍🔬 Nurses → prep/test equip, stabilize c-spine 🩺 Surgeon → perform surgical airway if needed Key Signs: Can’t speak, GCS ≤8, visible obstruction, facial/laryngeal trauma. Nursing Focus:

  • Assess speech → suction blood/secretions 💨
  • Maintain c-spine alignment 🔒
  • Monitor GCS & prep for intubation if ↓LOC
  • R ... 
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