MULTIPLE TRAUMAMULTIPLE  TRAUMA

First peak: second to minutes

apnea due to severe brain injury‐high spinalapnea due to severe brain injury high spinal 

cord injury

rapture of heart aorta large vesselsrapture of  heart     aorta     large vessels 

Second peak i t t hSecond peak: minutes to hours

SDH    EDH   HTX   PTX

i h l l lperipheral large vessels

Third peak: several day to week

sepsis     multiple organ dysfunction : 

Preparation:  

Prehospital phase: airway maintenance – control  of external bleeding – immobilization – immediate transport –external bleeding – immobilization – immediate transport –triage

hospital phase: proper airway equipment – warmed

intravenous crystalloid – monitoring – LAB/Radiology personely g / gy p

protection(face mask‐eye protection‐legging‐gloves‐vaccination)vaccination)

Triage:    multi casualties

mass casualties

Primary SurveyPrimary SurveyPrimary SurveyPrimary Survey

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ddSecondary SurveySecondary Survey