First 30 seconds
- 1<C>ABCDE — catastrophic haemorrhage first (tourniquet, pressure)
- 2Trauma team activation
- 3Cervical spine protection
- 42× large-bore IV, FBC, group, crossmatch 6
Multiple injuries to ≥2 body systems with ISS ≥16.
C
Catastrophic haemorrhage
- • Tourniquet, pressure, pelvic binder, TXA
A
Airway + C-spine
- • Protect C-spine, definitive airway if GCS<8
B
Breathing
- • Tension pneumo decompress, flail chest
C
Circulation
- • Stop bleeding, blood transfusion 1:1:1, permissive hypotension
D
Disability
- • GCS, pupils, glucose, AVPU
E
Exposure
- • Log roll, full exam, prevent hypothermia
