Emergency Surgery: Initial Trauma Management — Advanced Life Support

Surgery · Clinical Specialties

How it begins

Un análisis exhaustivo de la fisiopatología, biomecánica y toma de decisiones quirúrgicas críticas en el paciente con traumatismo grave. Abordaje pormenorizado bajo directrices ATLS de última generación y principios avanzados de reanimación de control de daños.

What it covers

1. Initial Management of Trauma
2. Kinematics and Biomechanics of Trauma
3. · Laws of Physics Applied to Biomechanics
4. · Closed Trauma vs. Penetrating Trauma
5. · Trimophasic Distribution of Mortality due to Trauma
6. Respuesta Inmunoendocrina al Trauma
7. · Neuroendocrine and Metabolic Axis
8. · The Cellular Immunoinflammatory Response: DAMPs, SIRS and CARS
9. · Trauma Endotheliopathy and Glycocalyx Degradation
10. The Lethal Triad and the Diamond of Death
11. · Pathophysiology of the Components of the Diamond of Death
12. · Physiological Classification of the Severity of the Lethal Triad
13. Airway with Cervical Control (A)
14. · Cervical Mobility Restriction
15. · Definitive Airway Indication Criteria
16. · Rapid Sequence Intubation (RSI) in Trauma
17. · Surgical Airway: Emergency Cricothyroidotomy
18. Ventilation and Thoracic Injuries (B)
19. · Immediately Life-Threatening Thoracic Injuries
20. · Indications for Thoracostomy with Chest Tube
21. Pathophysiology of Hemorrhagic Shock (C)
22. · Cell Dysfunction in Tissue Hypoxia
23. · Systemic Classification of Hemorrhagic Shock (ATLS)
24. Vascular Access and Proactive Hemostatic Resuscitation
25. · Hierarchical Selection of Vascular Access
26. · Proactive Hemostatic Resuscitation
27. · Viscoelastic Hemostatic Monitoring (TEG and ROTEM)
28. Surgical Control and Early Hemostasis
29. · 1. Direct Compression and Wound Packing
30. · 2. Mechanical Compression Devices: The Tourniquet
31. · 3. Temporal Control of Large Vessels: Temporal Shunts
32. Neurological Deficit and Neurotrauma (D)
33. · The Modified Glasgow Coma Scale with Pupillary Response (GCS-P)
34. · TBI Severity Classification according to GCS
35. · Pathophysiology of Intracranial Hypertension: Monro-Kellie Doctrine
36. · Emergency Medical Measures in Severe Intracranial Hypertension
37. Exposure and Thermoregulation (E)
38. · Systemic Physiopathological Effects of Accidental Hypothermia in Trauma
39. · Clinical Rewarming Strategies for Polytraumatized Patients
40. Damage Control Surgery and Resuscitation (DCS)
41. · Structured Phases of Damage Control Surgery
42. · Clear Indications to Activate the Damage Control Protocol
43. Resuscitation Thoracotomy and REBOA
44. · 1. Emergency Room Resuscitation Thoracotomy (EDT)
45. · 2. REBOA (Endovascular Balloon Occlusion of the Aorta)
46. Pelvis and Abdomen Trauma: Surgical Approach
47. · Bedside Ultrasound Evaluation: The eFAST Protocol
48. · Initial Management of Complex Pelvis Trauma
49. Advanced Monitoring and Late Phase Complications
50. · 1. Abdominal Compartment Syndrome (ACS)
51. · 2. Traumatic Rhabdomyolysis and Acute Kidney Injury
52. · 3. The Tertiary Survey of the Polytraumatized