Trauma · ATLS 11 · Head · Neck · Chest · Abdomen · Pelvis · Extremities
TRAUMA GUIDELINES

14 conditions across 7 body regions covering acute assessment, management, and disposition. ATLS 11 (2025) · BTF 4th Ed (2020) · EAST 2025 · CRASH-2 · PROPPR · NAEMSP/ACS-COT/ACEP 2025.

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ATLS 11 — 2025 PARADIGM SHIFT: xABCDE
X — Exsanguinating hemorrhage control FIRST (tourniquet, wound packing)  ·  A — Airway with C-spine (video laryngoscopy preferred)  ·  B — Breathing  ·  C — Circulation  ·  D — Disability  ·  E — Exposure  ·  Limit crystalloid ≤1L → early blood products  ·  TXA within 3h  ·  1:1:1 or whole blood  ·  Selective spinal motion restriction
🔴 Trauma bay use only. All conditions require trauma surgery + critical care team activation. Hemodynamic instability dictates operative pathway. FAST exam guides resuscitation decisions.  ·  Evidence: A = RCT/meta-analysis · B = cohort/consensus · Ev = ATLS/EAST/BTF level  ·  REBOA: EAST 2025 — conditional recommendation AGAINST for most subdiaphragmatic trauma.