Lecture 1: Primary Assessment Flashcards
What are you looking for in a primary survey?
Looking for life threatening situations (unconcious, breathing, if they have a pulse/major bleeding)
How long should primary assessment take?
30-45 seconds max
What are you looking for in a secondary survey?
Head to toe assessment to check for limb threatening or less obvious injuries
What are the elements of a scene size up?
-Insuring my safety (safe for me, my athlete, has the play stopped, rules of the game?
-BSI (PPE)
(need gloves and protective wear)
-Location/position of patient/athlete
(dependant on the sport, athelete will be in various positions
–Number of victims as well as condition: traumatic or medical?
What are the 5 colours of traige tags?
Red, yellow green, black and white
What does the red triage tag mean?
Used to label those who cannot survive without immediate treatment but who have a chance of survival
What does the yellow triage tag mean?
FOr this who require observation. (stable for the moment with no immediate danger)
What does the green triage tag mean?
“walking wounded” who will eventually need care after the critical are treated
What does the black triage tag mean?
Used for deseased and for those whos injuries are so extensive they will not survive
What does the white triage tag mean?
Minor injuries where doctor care is not required
Where do you approach the patient from?
at the head (side thats facing you) FRO MTHE FEET
When do you stabilize the head>
INITIALLY, RIGHT AS YOU APPROACH THEM
What are some of the things you should not do when approaching your patient
- Do not approach from where they cannot see you
- Do not go over the patient (could injure further/bloack airway
- Never step over, always go around
How does blood look when it is flowing from an artery, a vein?
Artery: spurting must be blocked with pressure
-Steady flow (oozing)
As you approach the athlete, what are you looking for?
Position of athelte Skin colour Sweating Bleeding Deformity Assymetry Medic alert bracelet pupils sickness looking
If patient is semiprone where do you stabilize the head>
GO from the side, inforont of face
What is the acronym for the primary assessment?
UABCd
When would you usde UCABd instead?
If you do not see the MOI (do not know how long they have been down and need to assess if alive)
What does UABCd stand for>?
Unconciousness Airweay Breathing Circulation defib
What to ask to determine LOC
ASK:
What happened/open your eyes
(If no response: move to painful stimuli)
if response: WHere does it hurt, reach and squeeze my finger
What are the 2 types of painful stimuli and what are you looking for after administering
TRICEP PINCH/NAIL BED SQUEEZE
-do they open their eyes
-do they moan
-do thye localize the pain
do they withdraw from the pain?
What are the 2 methods of classifying level of conciousness
AVPU
Glasgow Coma Scale
Explain AVPU
A= alert (eyes are open and answering questions) CAN BE ORITENTED TO TIME PERSON PLACE EVEN
V= Response to verbal stimuli
M=Repsond to painful stimuli
U= no response to either verbal or painful and must call 911
What is the grading of glascow coma scale and what does each end mean?
EVM=Eye opening, verbal, motor
3-15
3= unconcious
15=fully awake and alert
