Initial assessment and management

Question 1

Repeat primary survey to

Answer 1

identify deterioration requiring additional intervention

Question 2

Prehospital interventions and considerations (5)

Answer 2

-Airway maintenance
-Breathing support
-Control of external bleeding and shock
-Immobilisation of the patient
-Immediate transport to closest facility

minimise scene time

Question 3

Hospital prep (6)

Answer 3

-Resus area available for trauma patients
-Functioning airway equipment, available
-Warm IV fluids
-Monitoring devices
-Protocol to summon assistance, inc lab and radiology
-Transfer agreements with verified trauma centres

Question 4

Signs of decreased perfusion

Answer 4

Level of consciousness
Skin colour and temperature
Pulse rate and character

Question 5

Rapid neurologic exam

Answer 5

Consciousness
Pupil size and reaction
Lateralising signs
Spinal cord injury

Question 6

Changes in level of consciousness

Answer 6

• start reassessing primary survey from A
• are due to central nervous injury until proven otherwise

Question 7

Adjuncts to primary survey

Answer 7

-ECG
-obs
-urinary output
-catheter
-imaging eg x ray
-ABG

Question 8

If urethral injury suspected, how would you check

Answer 8

retrograde urethrogram

Question 9

gastric catheters do what (3)

Answer 9

-reduce stomach distension and dec risk of aspiration
-help identify other injuries eg diaphragmatic hernia

Question 10

how to overcome facial oedema preventing eye exam

Answer 10

-perform exam before facial oedema develops
-elevate head of the bed