In trauma centers (which looks like they are in) almost every trauma gets chest and pelvic xray. They wheel the xray machine down when the trauma is called and it takes 15 seconds. ATLS book doesn't really cover this and really only mention those X-rays if you suspect an issue. ATLS is more geared towards outside hospitals who don't have the resources on hand of a trauma center. Plus physical exam isn't all telling, could be an issue not showing symptoms yet or the examiner could have just simply missed it. Think MOI, person fell, got in car wreck, got shot, etc.. There could easily be something worse than meets the eye. Also they often do the spine exam during that time. 4 person roll, remove back board, check spine, and place xray cassette down, roll patient back. They check xray on the spot. Happens really fast.
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In the scenario, why did the doctor ask for a chest and pelvic x ray after primary survey?
It's part of the secondary survey
In trauma centers (which looks like they are in) almost every trauma gets chest and pelvic xray. They wheel the xray machine down when the trauma is called and it takes 15 seconds. ATLS book doesn't really cover this and really only mention those X-rays if you suspect an issue. ATLS is more geared towards outside hospitals who don't have the resources on hand of a trauma center. Plus physical exam isn't all telling, could be an issue not showing symptoms yet or the examiner could have just simply missed it. Think MOI, person fell, got in car wreck, got shot, etc.. There could easily be something worse than meets the eye.
Also they often do the spine exam during that time. 4 person roll, remove back board, check spine, and place xray cassette down, roll patient back. They check xray on the spot. Happens really fast.