Surgery · Trauma and Emergency Surgery (ATLS, Burns, Abdominal Trauma, Head Injury)

According to the ATLS protocol, during the secondary survey of a trauma patient, the 'E' component refers to:

  • A Extremity assessment
  • B Exposure and environment control
  • C Evaluation of haemoglobin
  • D Echocardiography (FAST)
Correct answer: B. Exposure and environment control

Explanation

In the ATLS primary survey (ABCDE), 'E' stands for Exposure and Environmental control — the patient is fully undressed to identify all injuries, and then covered with warm blankets to prevent hypothermia. FAST (Focused Assessment with Sonography for Trauma) is an adjunct to the primary survey, not the 'E' component.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

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