big 6 deadly problems
airway obstruction
tension pneumo
open pneumo
flail chest
cardiac tamponade
massive internal/external hemorrhage
trauma triad of death
coagulopathy
hypothermia
metabolic acidosis
beck’s triad
cardiac tamponade
JVD
muffled heart sounds
hypotension
also pulses paradoxus
flail chest
2 or more rib fractures in 2 or more places
key mgmt for head trauma
avoid hypoxia and hypotension
avoid secondary injury
CT scanning should never delay transfer to definitive care