The BIG change in Trauma care everyone NEEDS to know

The management of trauma is a challenging endeavour. It is one of the reasons I enjoy being a trauma surgeon. Trauma care for the past 50 years has been led by the trauma protocols outlined in Advanced Trauma Life Support (ATLS). ATLS has undergone many different revisions, but the principles of approaching the patient by evaluating the Airway First, then Breathing, then Circulation, Disability and Exposure have been consistent over the years.
That is about to change.
ATLS will be moving to a new mnemonic/algorithm. xABCDEF
In this video, I talk about the biggest change. eXsanguinating hemorrhage first before managing the airway.
In a later video, I will discuss more of the changes coming to the famous ATLS mnemonic.
Follow me on socials:
Instagram
/ hilsdenr
TikTok
/ rich_hilsden

[@krisellis3222]

Thanks for the update, doc! This is super helpful for those of us in fields like neurosurgery that are often peripherally involved in traumas but don't do ATLS.

[@RichHilsden]

We are all trying to save the brain at the end of the day.

[@natc6601]

Great video! Just finished EMT school and my school focused on XABCs for the reasons you stated

[@RichHilsden]

Thanks for the comment. Great that they are teaching external hemorrhage first!

[@johnkirk8650]

Thanks for sharing Dr. Hilsden

[@RichHilsden]

Thank you for watching and taking the time to comment.

[@davidajayi2819]

In my corpsman training we just learned it as CAB (circulation, airway, breathing).

[@RichHilsden]

Yeah. I would guess that the NAVY doesn’t MARCH

[@lethabrooks9112]

Im not a medical professional but I find this interesting. Medicine is always evolving and improving which saves lives in the long run and that is a good thing. Been watching videos all week because I just had neck surgery last tuesday and at home recovering. I look like Ive been stabbed in the throat because of the location of the incicision.

[@yarrowup]

I’m new to your channel and am learning a lot from your videos. I’m preparing to enter PA school and want to go into ACS. Can you talk about how PAs and NPs help you and what they do that is most valuable to you. Also in what ways do you rely on PAs and NPs vs residents.

[@Lisa_RNHealthHub]

Good info

[@RichHilsden]

Glad it was helpful!

[@caypasha]

Hey Dr Hilsden! Could you make a video on your thoughts of the future of AI in surgery? Do you think AI assisted robotic surgery (autonomous surgery) would be technically feasible in the next 10 years, and implemented in the next 15-20 years?
I’m interested in pursuing surgery but it seems the field will undergo immense change in the next 30 years

[@RichHilsden]

There will be some automation in surgery going forward. But don’t worry. Going to be a while before Surgeons Jobs are at risk