Resequenced Trauma Resuscitation Algorithm


Two categories of immediate life-threats in trauma:


1. Massive external hemorrhage


2. Critical airway compromise a) critical/refractory hypoxia (<90% oxygen saturation despite maximal noninvasive ventilation) b) dynamic airway (anticipate evolving disruption of airway, head/neck injuries that are expected to worsen over the next few minutes)


Once these two immediate life threats have been ruled out or managed, resuscitation should focus on hemodynamic optimization before definitive airway management.


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