REVIEW ARTICLE |
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Year : 2020 | Volume
: 18
| Issue : 1 | Page : 36-39 |
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Early management of trauma: The golden hour
Kundavaram Paul Prabhakar Abhilash, A Sivanandan
Department of Emergency Medicine, Christian Medical College, Vellore, Tamil Nadu, India
Correspondence Address:
Dr. A Sivanandan Department of Emergency Medicine, Christian Medical College, Vellore - 632 004, Tamil Nadu India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/cmi.cmi_61_19
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The first 60 minutes after traumatic injury which is the most crucial period that determines the patient's outcome has been termed the “golden hour.” The concept that definitive resuscitative trauma care must be initiated within this early window has been publicized, taught, and practiced worldwide for more than four decades. The main steps in the early management of trauma are primary assessment; resuscitation: perform primary assessment and resuscitation together; reassessment of airway, breathing, and circulation; and secondary assessment. The primary assessment provides basic data essential for the patient's survival when life or limb is threatened. Resuscitation should be initiated simultaneously with the primary assessment. It is performed when any component of the primary assessment appears unstable. The secondary assessment is to be performed after the completion of primary assessment and resuscitation. It provides comprehensive information about the various organ systems.
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