Primary suryey

During the primary survey, the patients are rapidly assessed and resuscitation of vital functions is begun based on the ABCs of trauma care:

A. Airway maintenance with cervical spine control

B. Breathing and ventilation

C. Circulation with hemorrhage control

D. Disability: neurological status

E. Exposure/Environmental control: completely undress the patient but prevent hypothermia Airway assessment with cervical spine control

During the initial evaluation, the highest priority is the patency of the airway. This is assessed by inspection of the upper airway for foreign bodies, blood, or vomitus, and identification of facial, mandibular, or tracheal/laryngeal injuries that may result in airway obstruction. The presence of inspiratory stridor persisting after the tongue is pulled forward is an important sign of subtotal upper airway obstruction. With blunt trauma, the cervical spine should be stabilized, particularly during securing of the airway.

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Sleep Apnea

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