• Appropriately manage penetrating abdominal trauma
  • Recognize need to initiative massive hemorrhage protocol; balanced resuscitation, minimize crystalloid
  • Appropriately perform primary and secondary survey


  • Perform primary and secondary surveys
  • Order MTP correctly
  • eFAST interpretation


  • Delegate tasks appropriately
  • Balance needs of patient, team

Case Stem


14-year-old male being brought in by EMS. Found lying beside a building moaning in pain by bystander. Suspected gunshots fired.

Patient GCS 14 at the scene.

ETA 3-4 minutes until arrival.

Parents are not available at this time, no past medical history known.

Learning Material

ATLS 10th Edition
Trauma Resuscitation Tool
Blood Product Requisition for Emergent Transfusion/ Massive Hemorrhage Protocol


Emergent Transfusion / Massive Hemorrhage Protocol
Traumatic Arrest Algorithm
DI Algorithm in trauma

Case Checklist

Supplemental Learning Material

The Human Factor: Optimizing Trauma Team Performance in Dynamic Clinical Environments.


Resilience is built, not born, and there is no single strategy that reliably manufactures resilient performance in all circumstances. Optimizing team performance in dynamic environments involves the complex interplay of strategies that target individual preparation, team interaction, environmental optimization, and systems-level resilience engineering. To accomplish this, health care can draw influence from human factors research to inform tangible, practical, and measurable improvements in performance and outcomes, modified to suit local and domain-specific needs.

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Damage Control: Advances in Trauma Resuscitation, An Issue of Emergency Medicine Clinics of North America


This issue of Emergncy Medicine Clinics, edited by Christopher Hicks and Andrew Petrosoniak, includes: Human factors in trauma resuscitation; rational approach to the trauma patient in shock; evidence-based updated on traumatic cardiac arrest; trauma airway; neuro-trauma management; managing thoracic trauma; major hemorrhage in trauma; major trauma in non trauma center; pelvic and abdominal trauma; major vascular injury; Special considerations in paediatric trauma; and Special considerations in geriatric trauma.

View →

EMCRIT – Severe Trauma Podcast

Supplemental Website