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It covers trauma assessment using primary and secondary survey with ABCDEs, emphasizes airway protection and GCS-focused disability evaluation, and organizes topic coverage across head/neck, spine, thoracic, abdomen, GU, extremity, vascular, and special populations. The critical care portion highlights ventilation management, shock, nutrition, and coagulopathy, integrating practical decision rules based on hemodynamic stability and imaging strategy.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/absite-traumacritical-care-review-trauma-headneck-spine-critical-care/272123/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/absite-traumacritical-care-review-trauma-headneck-spine-critical-care/272123.png","ImageObject",300,407,{"name":92,"@type":93},"Lucas Martin","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-15",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"How should trauma patients be assessed initially?","Question",{"text":113,"@type":114},"Use a primary survey with ABCDEs followed by a secondary survey. Evaluate airway protection, breathing, circulation, disability with GCS, and perform a head-to-toe examination including neuro and rectal exam elements.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What guidance helps decide between surgery and imaging in trauma patients?",{"text":118,"@type":114},"For hemodynamically unstable patients, the right answer is usually operating room intervention. For hemodynamically stable patients, imaging—typically CT—is the next step.",{"name":120,"@type":111,"acceptedAnswer":121},"What key goals and risks are emphasized in traumatic brain injury management?",{"text":122,"@type":114},"Avoid hypotension and hypoxia to prevent secondary brain injury, target cerebral perfusion pressure (CPP) around 60–70, and recognize that CPP \u003C50 increases ischemia risk while >70 increases risk of cerebral edema and ARDS. Manage PaCO2 as a main regulator and address seizures with prophylaxis, correct coagulopathy, and avoid steroids per CRASH trial principles.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},272123,1789463365,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":130,"read_time":145},8796095360427,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","2025 ABSITE Trauma/Critical Care Review  \nDhanushka Vitharana, MD  \nPGY-4 General Surgery Resident  \nLouisiana State University Health Sciences Center-New Orleans  \nOutline  \n• Approach to trauma patient  \n• Trauma  \n• Head/neck  \n• Spine  \n• Thoracic  \n• Abdomen  \n• GU  \n• Extremity  \n• Vascular  \n• Special populations  \n• Critical care  \n• Vent management  \n• Shock  \n• Nutrition  \n• Coagulopathy  \nABSITE General and Trauma-Specific Tips  \n• Familiarize yourself with common pictures e.g. imaging findings  \n• Hemodynamically unstable – right answer is usually OR  \n• Hemodynamically stable – imaging (usually CT)  \nTrauma  \nAssessment of Trauma Patients  \n• Primary survey  \n• ABCDEs  \n• Airway – is the patient protecting their airway?  \n• Breathing  \n• Circulation  \n• Disability-GCS  \n• Environment/exposure  \n• Secondary survey  \n• Neuro exam – pupils, motor/sensory, rectal  \n• Head-toe examination  \nHead/Neck – GCS Score  \n[https://www.cdc.gov/dengue/training/cme/ccm/page57206.html](https://www.cdc.gov/dengue/training/cme/ccm/page57206.html)  \nHead/Neck – Intracranial hemorrhage  \nRajagopal M, Buradagunta S, Almeshari M, Alzamil Y, Ramalingam R, Ravi V. An Efficient Framework to Detect Intracranial Hemorrhage Using Hybrid Deep Neural Networks. Brain Sci. 2023 Feb 25;13(3):400 . doi: 10.3390/brainsci13030400 . PMID: 36979210; PMCID: PMC10046213 .  \nHead/Neck – TBI  \n• Avoid hypotension, hypoxia – prevent secondary brain injury!  \n• Cerebral perfusion pressure – surrogate for cerebral blood flow  \n• CPP = MAP – ICP  \n• Goal: 60-70  \n• \u003C50 → risk of ischemia  \n• > 70 → risk of cerebral edema, ARDS  \n• PaCO2 – main regulator  \n• Management  \n• Seizure ppx – Keppra x7d  \n• Correct coagulopathy  \n• NO steroids – CRASH trial  \nNeck – Cricothyroidotomy  \n• Cricothyroid membrane  \n• Pitfalls  \n• Bleeding – tracheoinnominate fistula  \nMcMahon K, Tariq A, Morley EJ. Cricothyroidotomy. [Updated 2025 Apr 18] . In: StatPearls [Internet] . Treasure Island (FL): StatPearls Publishing; 2025 Jan- . Available from: [https://www. ncbi. nlm. nih.gov/books/NBK537350/](https://www. ncbi. nlm. nih.gov/books/NBK537350/)  \nNeck – Zones ofthe Neck  \n• Zone 1: clavicle → cricoid cartilage  \n• Great vessels  \n• Median sternotomy  \n• Zone 2: cricoid cartilage → angle of mandible  \n• Carotids (bifurcation), IJ, larynx, esophagus, trachea  \n• Anterior border of SCM  \n• Repair ICA!  \n• Zone 3: above angle of mandible  \n• Internal carotid, pharynx  \nMonson DO, Saletta JD, Freeark RJ. Carotid vertebral trauma. J Trauma. 1969;9:987999.","cbCaidMk1rxUIoSC","https://ap.wps.com/l/cbCaidMk1rxUIoSC","pdf",1523322,35,"English","# Approach to trauma patient\n## Trauma\n## Head/neck\n## Spine\n## Thoracic\n## Abdomen\n## GU\n## Extremity\n## Vascular\n## Special populations\n## Critical care\n## Vent management\n## Shock\n## Nutrition\n## Coagulopathy","[{\"question\":\"How should trauma patients be assessed initially?\",\"answer\":\"Use a primary survey with ABCDEs followed by a secondary survey. Evaluate airway protection, breathing, circulation, disability with GCS, and perform a head-to-toe examination including neuro and rectal exam elements.\"},{\"question\":\"What guidance helps decide between surgery and imaging in trauma patients?\",\"answer\":\"For hemodynamically unstable patients, the right answer is usually operating room intervention. For hemodynamically stable patients, imaging—typically CT—is the next step.\"},{\"question\":\"What key goals and risks are emphasized in traumatic brain injury management?\",\"answer\":\"Avoid hypotension and hypoxia to prevent secondary brain injury, target cerebral perfusion pressure (CPP) around 60–70, and recognize that CPP \\u003c50 increases ischemia risk while \\u003e70 increases risk of cerebral edema and ARDS. Manage PaCO2 as a main regulator and address seizures with prophylaxis, correct coagulopathy, and avoid steroids per CRASH trial principles.\"}]","ABSITE Trauma/Critical Care Review - Trauma - Head/Neck - Spine - Critical Care | PDF",88]