Initial Patient Assessment

Question 1

Primary survey

Answer 1

Swift assessment (60-90) seconds
Step wise approach
DRCABCDE
Consider c-spine

Question 2

Initial assessment

Answer 2

DRCABCDE
Danger. Response. Catastrphic haemorrhage. Airway. Breathing. Circulation. Disability (GCS/pupils/BM). Exposure/environment

Question 3

GCS - EYES/VOICE/MOTOR

Answer 3

4 - spontaneous/speech/pain/none
5 - orientated/confused/inapp. words/incomp. sounds/none
6 - obeys commands/localises/withdraws/abnormal flexion/extensor/none

Question 4

What is abnormal flexion (decorticate posturing)?

Answer 4

Adduction of the arm
Internal rotation of the shoulder
Pronation of the forearm
Wrist flexion
Hawking
Caught

Question 5

What is extensor response (decerebrate posturing)?

Answer 5

Abduction