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Abstract – EMERGENCY CARE IN PATIENTS WITH HEAD AND NECK INJURIES

ABSTRACT:
Trauma accounts for a significant proportion of annual mortality world-wide. Being the most exposed part of the body, face is more vulnerable to such injuries. Multimodal optimization of surgical care significantly improves patient’s physical and psychological function with reduced patient morbidity and mortality after surgical procedure. The physical examination begins with revaluation of the patient’s vital signs. If the patient’s vital signs are worsening or if there is a deterioration of any system evaluated during the primary survey, the secondary survey is halted and resuscitation is continued. The Advanced Trauma Life Support Programs (ATLS) were built around three core concepts which represented a dramatic change in traditional “medical” thinking. The first concept defines the ATLS approach. Treat the greatest threat to life first. The loss of an airway kills faster that the loss of intravascular volume which kills faster than an acute intracranial bleed. This principle is simplified as the “ABCDE” approach to the trauma evaluation. The second principle is that an indicated treatment should not wait for a definitive diagnosis. And third, an extensive history is not a critical component of the initial evaluation of the injured patient. Life threatening injuries must be managed appropriately, prioritized evaluation and intervention are essential.