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?