Victorian State Trauma System

Major Trauma Guidelines & Education – Victorian State Trauma System

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Secondary Survey

The secondary survey is performed as soon as time permits and once the patient has been resuscitated and primary survey issues stabilised. It involves a more thorough head-to-toe examination, and the aim is to detect any injuries that were not detected or managed...

Primary Survey

Life threatening chest injuries need to be identified and managed early during the primary survey of major trauma patients. It is vital to actively search for these conditions, as they may not be apparent on initial presentation. Life threatening injuries may evolve...

Early activation

Pathophysiology and Early Management The presence of significant thoracic trauma needs to be assumed in any patient with a high-energy blunt trauma or penetrating trauma to the torso. Health services should receive pre-arrival notification for all major trauma...

Immediately life threatening injuries

Pathophysiology and early management Immediately life-threatening injuries from thoracic trauma that require immediate interventions are noted below. Interventions to treat these conditions should be familiar to anyone involved in trauma management. These injuries...

Introduction

Thoracic trauma is responsible for 25% of all trauma deaths and contributes to a further 25%. In Australasia and the UK, 90-95% of all chest trauma is secondary to blunt injury. (2) Motor vehicle crashes account for 70-80% of blunt chest trauma cases. (3) It is...