ABSTRACT

Introduction 295

Resuscitation 295

Airway control and cervical spine protection 295

Assessment of breathing 296

Adequacy of circulation 296

Assessment of disability 296

Exposure of patient 296

Placement of tubes and essential x-rays 296

Reassessment of patient 296

Mandatory operation versus mandatory imaging versus

selective physical examinations and intervention 297

Clinical evaluation 297

Diagnostic investigations 298

Gunshot wounds versus knife wounds 299

Retained sharp objects 300

Specific injuries 300

Key evidence 302

Key learning points 302

References 303

There are 4 degrees of intra-operative hemorrhage:

1. Why did I get involved in this operation? 2. Why did I become a surgeon? 3. Why did I study to become a doctor? 4. Why was I born?