Lecture 2: Secondary Assessment

Question 1

What is the order of areas you palpate?

Answer 1

Head. (back of skull first) 
Face
Neck C-Spine
Neck soft tissue
Chest (sternum)
rib 
Abdomen (divide in 4 quadrants, expose)
Pelvis (compress)
Lower back
• Leg#1 
• Leg #1 PMSC
• Leg#2
• Leg #2 PMSC
• Arm#1
• Arm #1 PMSC
• Arm#2
• Arm #2 PMSC

Question 2

Do you palpate what you can see first or what you cant see? and why

Answer 2

WHAT YOU CANT SEE FIRST to check for blood

Question 3

What does the secondary assessment assess?

Answer 3

Signs of potential injuries that if left untreated in next minutes to hours would cause death or disability

Question 4

What are the things youre looking for in a secondary assessment

Answer 4

DCAP BTLS

Deformation, contusions, abrasions, punctures, burns, tenderness, lacerations, swelling

Question 5

True or false and why: throughout the exam you must check the facial expressions of the athlete?

Answer 5

True, to check for any signs of discomfort

Question 6

If an injury is found do you stop the assessment to treat it?>

Answer 6

No , you take note and treat it after the assessment is done to ensure you dont miss somehhing more crucial

Question 7

When you are treating an area do you have to expose it ?

Answer 7

yes

Question 8

In which of these positions do you NOT have to do trauma jaw thrust?

*Supine athlete
• Semi-prone athlete
• Prone athlete

Answer 8

semi prone and prone

Question 9

What does SAMPLE stand for and how do you obtain it>?

Answer 9

S= signs and symptoms
A=allergies
M=medications
P= past med history in the last 6 months
L=last intake
E= events leading up to injury 

Obtain it through medical forms and coaches/teamamtes if unconcious

Question 10

What are the pain questions and describe them

Answer 10

OPQRST 
o=onset (sudden or not)
p=provoke (what makes it better what makes it worse
q= quality (describe pain)
r= radiate (does it spread)
s= severity
t= time (when did it happen)

Question 11

True or false: you can obtain OPQRST if the patient is unconcious?

Answer 11

FALSE

Question 12

If athlete has a medical condition, when do you take vitals>

Answer 12

You take vitals right after primary assessment

Question 13

What is the order of treatment and describe them

Answer 13

DEFG
d=disabilities (spine, concussion, intracranial lesion)
E=epithelial (bleeds, cuts, burns)
f= fractures (open or closed)
g=sprains, strains, everything else

Question 14

What is the purpose of the first set of vitals? the second set of vitals?

Answer 14

1st: establish a baseline
2nd: compare to baseline and see status of patient

Question 15

What are some of the different ways of transport off the field?

Answer 15

Spinal board 
Walk assist 
Carry
Wheel chair 
Cart

Question 16

When do you take the 3rd set of vitals

Answer 16

After the transport off the field (15-20 minutes after intervention)

Question 17

how do you report to the EMT?

Answer 17

• Present yourself and qualifications
• give a narrative report and field impression
• brielfly describe treatment and responsive
• give vitals and meds and allergies

Question 18

What is the acronym to reporting to EMT and explain it

Answer 18

ATMIST

A= age and name
t= time
m= MOI
i=injuries 
s= signs and symptoms
t= treatment

Question 19

What are some essential things you can give to an emt>

Answer 19

photocopy of the athlete’s medical form •
 the vitals you took
• photocopy of the SCAT5 assessment
• RAMQ card
• Athlete’s meds
• Any other pertinent info or objects

Question 20

What should you not forget after EMT takes over?

Answer 20

• which hospital going to
• Material exchange
• ambulance #
• What can be better
• thank you

Question 21

What are the general intervention steps ?

Answer 21

- Scene survey & approach
• Head stabilization
• Primary assessment UABCd/UCABd 
• Secondary assessment
• Vitals (baseline)
• Treatment DEFG
• Vitals (2nd set)
• Transport off field
• Vitals (3rd set)
• Report to EMT