OBJECTIVE 1. Safe and efficient entry into the abdomen and chest |
Trauma Laparotomy
Left Anterolateral Thoracotomy
Median Sternotomy
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OBJECTIVE 2. Immediate control of abdominal/thoracic hemorrhage by applying direct pressure |
Abdominal packing
Splenic hilar control
Hepatic hilar control (Pringle)
Renal hilar control
Lung hilar control
Proximal and distal IVC and aortic compression
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OBJECTIVE 3. Accurate assessment of hollow viscus injury and development of an appropriate plan for resection versus repair |
Stomach, duodenum, small bowel, ureter, bladder, lung, colon
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OBJECTIVE 4. Accurate assessment of solid organ injury and development of an appropriate plan for resection versus repair |
Liver, spleen, pancreas kidney
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OBJECTIVE 5. Control of vascular hemorrhage |
Proximal and distal control
Topical hemostatics and suturing
Heart, IVC, aorta
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OBJECTIVE 6. Rapid decompression of the chest |
Decompression and treatment of pneumothorax
Release of pericardial tamponade
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OBJECTIVE 7. Damage control |
Recognize the indications, timing, and techniques for performing a truncated procedure
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OBJECTIVE 8. Team coordination |
Senior ability to support and guide team
Junior ability to respond to direction and remain focused on task
Group ability to rapidly respond to instability induced by traumatic injury
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