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Updated: Feb 3, 2026

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
Published on: February 6, 2021
Initial Evaluation and Management of the Injured Patient
1Jeffrey Coughenour, MD FACS, is Associate Professor of Surgery, Trauma Medical Director, Division of Acute Care Surgery, Department of Surgery, University of Missouri School of Medicine, Columbia, Missouri.
Abstract:
This update is a conversation with our trauma medical director about the initial evaluation and management of the injured patient. After a brief historical perspective, we discuss the immediate treatment of life-threatening injuries at local hospitals within the context of definitive care at a level 1 trauma center. Our journey is colored by recent cases we have treated at our institution with the hope that we save more Missourian lives.
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