How is assessment in ATLS?

First measure vitals and level of conscioussness (if glasgow coma scale <13, sys BP <90, RR <10/>29) Then assess anatomy of injury (penetrating, flail chest, bone fractures, amputations, paralysis) if both positive then transport pt to trauma care center If no injury anatomy then assess mechanism to injury and evidence of high energy impact (fall >feet or 2 floors for adults and 1 floor for children, or high risk auto crash [death of passenger...] or motorcycle accident >20mph) then transport to trauma center If not assess special pt or system considerations if older or children or pregnancy then take to trauma center