USMLE Step 2 CK Lecture Notes 2019: Surgery Pdf is written by Carlos Pestana, Adil Farooqui, Mark Nolan Hill, Ted A. James that designed to help all medical student especially about surgery. this book you can download for free. Up-to-date. Updated yearly by Kaplan’s all-star college. Highly illustrated. Includes color graphics and tables. Integrated. Learner-efficient. Organized in outline format using high-yield summary boxes. Trusted. Used by tens of thousands of students annually to be successful on the USMLE Step 2. The first evaluation of a trauma patient demands a systematic approach to determine life threatening and possibly life-threating injuries.
This generally involves a short”Main Survey” to evaluate airway (A), breathing (B), flow (C), handicap (D, neuro test ), and vulnerability (E) of this individual, in order that potential accidents can be viewed (ABCDE mnemonic). Needed interventions ought to be immediately addressed since the examiner profits through ABCDE. Following the principal Survey is finished, and whether the patient is stable, then a Secondary Survey, requiring a complete head to toe examination and analysis of organ systems ought to be performed.The existence of symmetrical breath seems indicate adequate venting; a lack or reduction of breath sounds can indicate a pneumothorax or hemothorax and need chest tube positioning. Pulse oximetry may be used to establish if oxygenation is sufficient (O2 saturation >90-95percent ); hypoxia might be secondary to airway compromise, pulmonary contusion, or neurological harm impairing respiratory drive and demand incubation.
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