Accidents are one of the commonest cause of Polytrauma or Multiple Injured Patient, So active and Prompt management is important, so I am. Going to discuss what we can do which can help patients in the roadside

ATLS focuses on the second or early death group (preventable group) where death will follow if
treatment is withheld or delayed and will do so in a predictable way.
ATLS components are:

- Primary survey: Identify what is killing the patient. The elements are:
i. Airway with cervical spine control
ii. Breathing and ventilation
iii. Dysfunction of the CNS
iv. Exposure in a controlled environment
v. Circulation with control of haemorrhage.

Well I am going to focus on what the passerby can do in primary survey, the little things we can do that can change the course of mortality in our area

You can quickly assess A, B, C, and D in a
trauma patient (10-second assessment) by identifying
themselves, asking the patient for his or her name,
and asking what happened. An appropriate response
suggests that there is no major airway compromise
(i.e.ability to speak clearly)

breathing is not severely
compromised (i.e., ability to generate air movement
to permit speech), and the level of consciousness is
not markedly decreased (i.e., alert enough to describe
what happened).

Failure to respond to these questions
suggests abnormalities in A, B, C, or D that warrant
urgent assessment and management.

Loss of airway can result in death <3 minutes, therefore airway assessment and cervical spine stabilisation should be started, when a person cannot speak, check for foreign body, mandibular fractures, secretions, and scoop them out either using handkerchiefs etc

accidents are a major cause of spinal injury, therefore it is important not to cause more damage to the nervous system. Stabilisation of the cervical spine is important, patient movement should be limited, lie patient flat, keep head in a stable position

Keep your hands on either side of the patent’s head, ensuring that the ears are not covered, as the patient must be able to hear to be reassured and informed. This position must be held until the collar and/ or blocks are in place. If cervical collar is available it is best used