Truama algorithm for high velocity injuries

Principle according to ATLS

Important

 Primary Survey

 Airway and C - spine

Breathing

Cirulation

Disability - Pupil reaction to light , GCS , APVU

Exposure under environment control

Not to miss adjuncts to primary survey
Blood inv. - Blood grouping ,Hb

X-ray C-spine
C-spine lateral view
X-ray Pelvis AP view

Secondary Survey
AMPLE History
Head to toe examination
Spine exaimned by log rolling ,
P/A - not to miss P/R examination

after admitting patient repeatedly same sequence of examination reviewed multimple times over a week . 

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