ATLS

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ATLS AAirway maintence with servical spine control B Breathing and ventilation C Circulation D Disasbility : Neurologic Status E Exposure : Undress the patient prevent Hypothermia A - -Bullou Circulation 1. [ : Ringers Lactate ] 2. SHOCK [ ] : Rhesus : D Disability [ ] alert V response to vocal stimuli P response to pain stimuli U unresponsive Shock E Exposure URINARY OUTPUT 50 ml / hour Pediatric output 1 ml / kgr/ hour Pediatric output- 1 y old 2ml / kgr / hour

C

K : 1. 2. 3. 4. 5. 6. [ 9 ] CO , , 100% 2 Carboxyhaemoglobin 100% 1 24h 2-4 ml/kgr/% 8 8 Ringers Lactate + glycose

: : 40-50 ml/h : 1-2 ml/kgr/h

1. 2. 3. 4. 5. 6. 7.

. Joule Q- I2 R Q o sec I R R - - - -

: : : Ca HF : Ca [ ]

MOUNT VERNON % ... kgr* = 2 ml 4h 4h 4h 6h 6h 12h

EVANS 2 [ % ... kgr* ] + 2000 ml 5% glycose 8h 16h 2 24h 1

BROOKE Evans 1/3 1/3

PARKLAND 1o 24h Ringer Lactate 4ml / kgr* / % ... 50 % 8h 50 % 16h 2o 24h 0,3 0,5 ml / kgr* / % ... 50 10 ml / h glycose