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First-line attitudes in acute medicine

S Hachimi Idrissi and Jean-Baptiste Watelet UGent (2016) B-ENT. 12(suppl. 26). p.31-39
abstract
The often complex problems of the trauma and/or severely ill patient present many challenges to front-line emergency staff. Multiple injuries and/or systems of the body involved require careful and timely prioritization and intervention. Optimum evaluation and resuscitation involves repetitive, systematic approaches that are known as the "primary", "secondary" and "tertiary" surveys. The primary survey focuses in general on the ABCDE approach of "Airway, Breathing, Circulation, Disability, Exposure", and is designed to recognize and to treat immediate life-threatening conditions within the initial minutes. This primary resuscitation of non-trauma patients does not differ from the ABCDE approach used to evaluate severely traumatized patients. This approach is applicable in all clinical emergencies, whether the patient is located in the street, at home, in the emergency room, and even in the intensive care or the general wards of the hospital. This approach is widely accepted by experts, and is likely to improve outcomes by helping healthcare professionals to focus on the most life-threatening clinical problems. In an acute setting, high-quality ABCDE skills among all treating team members can save valuable time and improve team performance. The secondary and the tertiary surveys are intended to diagnose all injuries before formulating definitive management strategies. This chapter briefly describes how to perform the ABCDE approach in general, and how to conduct the secondary and the tertiary surveys. A more detailed use of this approach within a specific medical condition will be described in later chapters of this report.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
Emergency medicine, multiple trauma, severely ill patient, systematic approach, medical emergency team and outcome, INTENSIVE-CARE
journal title
B-ENT
B-ENT
volume
12
issue
suppl. 26
pages
31 - 39
Web of Science type
Article
Web of Science id
000391156400006
JCR category
OTORHINOLARYNGOLOGY
JCR impact factor
0.578 (2016)
JCR rank
40/42 (2016)
JCR quartile
4 (2016)
ISSN
0001-6497
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
8511021
handle
http://hdl.handle.net/1854/LU-8511021
date created
2017-02-23 14:53:02
date last changed
2017-05-17 12:51:14
@article{8511021,
  abstract     = {The often complex problems of the trauma and/or severely ill patient present many challenges to front-line emergency staff. Multiple injuries and/or systems of the body involved require careful and timely prioritization and intervention. Optimum evaluation and resuscitation involves repetitive, systematic approaches that are known as the {\textacutedbl}primary{\textacutedbl}, {\textacutedbl}secondary{\textacutedbl} and {\textacutedbl}tertiary{\textacutedbl} surveys. 
The primary survey focuses in general on the ABCDE approach of {\textacutedbl}Airway, Breathing, Circulation, Disability, Exposure{\textacutedbl}, and is designed to recognize and to treat immediate life-threatening conditions within the initial minutes. This primary resuscitation of non-trauma patients does not differ from the ABCDE approach used to evaluate severely traumatized patients. This approach is applicable in all clinical emergencies, whether the patient is located in the street, at home, in the emergency room, and even in the intensive care or the general wards of the hospital. 
This approach is widely accepted by experts, and is likely to improve outcomes by helping healthcare professionals to focus on the most life-threatening clinical problems. In an acute setting, high-quality ABCDE skills among all treating team members can save valuable time and improve team performance. 
The secondary and the tertiary surveys are intended to diagnose all injuries before formulating definitive management strategies. 
This chapter briefly describes how to perform the ABCDE approach in general, and how to conduct the secondary and the tertiary surveys. A more detailed use of this approach within a specific medical condition will be described in later chapters of this report.},
  author       = {Hachimi Idrissi, S and Watelet, Jean-Baptiste},
  issn         = {0001-6497},
  journal      = {B-ENT},
  keyword      = {Emergency medicine,multiple trauma,severely ill patient,systematic approach,medical emergency team and outcome,INTENSIVE-CARE},
  language     = {eng},
  number       = {suppl. 26},
  pages        = {31--39},
  title        = {First-line attitudes in acute medicine},
  volume       = {12},
  year         = {2016},
}

Chicago
Hachimi Idrissi, S, and Jean-Baptiste Watelet. 2016. “First-line Attitudes in Acute Medicine.” B-ent 12 (suppl. 26): 31–39.
APA
Hachimi Idrissi, S., & Watelet, J.-B. (2016). First-line attitudes in acute medicine. B-ENT, 12(suppl. 26), 31–39.
Vancouver
1.
Hachimi Idrissi S, Watelet J-B. First-line attitudes in acute medicine. B-ENT. 2016;12(suppl. 26):31–9.
MLA
Hachimi Idrissi, S, and Jean-Baptiste Watelet. “First-line Attitudes in Acute Medicine.” B-ENT 12.suppl. 26 (2016): 31–39. Print.