A Airway maintenance with cervical protection B Breathing

外傷評估 A Airway maintenance with cervical protection 呼吸道是否通暢及頸椎是否固定？ B Breathing / Ventilation / Oxygenation 呼吸的狀況是否穩定？ C Circulation with hemorrhage control 血液動力學是否穩定及控制出血。 D Disability: Neurologic status 有無神經學方面的缺失？ E Exposure / Environmental control: 脫去衣物以便能清礎的看到病人全身的任何損傷。 F

確切的氣道 ﹙definitive airway﹚ A cuffed tube secured in the trachea

頸部創傷 Whiplish injuries

Pitfall

Neck collar

C-Spine lateral view

Open mouth view (C 1 -C 2) hangman's fracture C 2 fracture Jefferson fracture

we conditionally recommend cervical collar removal after a negative highquality C-spine CT scan result alone J Trauma Acute Care Surg 430 Volume 78, Number 2, 2015

Tension penumothorax VS simple penumothotax

死亡三原素 Lethal triad of death 低體溫 hypothermia 代謝性酸中毒 metabolic acidosis 凝血功能障礙 coagulopathy

Disability EDH Extradural Haematoma

Disability 00659003 A(SDH) subdural hematoma massive effect

Disability 02166932 J (SAH) Subarachnoid hemorrhage

Exposure / Environment control

Fracture Immobilization