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Year : 2020  |  Volume : 18  |  Issue : 1  |  Page : 36-39

Early management of trauma: The golden hour


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
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Source of Support: None, Conflict of Interest: None


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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