Initial management of the trauma patient.

Regardless of the injuries sustained or the capabilities of the treating facility, the principles described in ATLS should guide the initial assessment, resuscitation, and treatment of the multiply injured patient.3 The primary and secondary survey should be continually repeated to identify deterioration in the patient's condition and to make appropriate interventions. The use of a prioritized and systematic approach to initial management of the trauma patient ensures that optimal care is delivered and the best possible outcome is achieved.