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The management of trauma is a challenging endeavour. It is one of the reasons I enjoy being a trauma surgeon. Trauma care for the past 50 years has been led by the trauma protocols outlined in Advanced Trauma Life Support (ATLS). ATLS has undergone many different revisions, but the principles of approaching the patient by evaluating the Airway First, then Breathing, then Circulation, Disability and Exposure have been consistent over the years.

That is about to change.

ATLS will be moving to a new mnemonic/algorithm. xABCDEF

In this video, I talk about the biggest change. eXsanguinating hemorrhage first before managing the airway.

In a later video, I will discuss more of the changes coming to the famous ATLS mnemonic.

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