Primary Assessment acronym

Question 1

Primary Assessment

Answer 1

Airway
Breathing
Circulation
Disability
Exposure

Question 2

Airway

Answer 2

1. maintain airway patency in unconscious patients - head tilt-chin lift, oropharyngeal airway, nasopharyngeal airway
2. use advanced airway management if necessary -laryngeal mask airway, laryngeal mask airway, laryngeal tube, esophageal tube, endotracheal tube

Question 3

if using advanced airway

what additional steps should be added

Answer 3

confirm proper intergration of CPR and ventilation
Confirm proper placement of advanced airway devices
Secure the device to prevent dislodgment
Monitor airway placement with continuous quantitative waveform capnography

Question 4

if bag-mask ventilation is adequate, we can defer insertion of advanced airway until

Answer 4

patient does not respond to initial CPR and defibrillation
or
until spontaneous circulation results

Question 5

breathing

Answer 5

give supplementary O2 when indicated

monitor the adequacy of ventilation and oxygenation

• chest rise and cyanosis
• quantitative waveform capnography (less than 10 mmHg)
• oxygen saturation

avoid excessive ventilation

Question 6

cardiac arrest patients

administer ___% oxygen

Answer 6

100%

Question 7

for non-cardiac arrest ptx

O2

Answer 7

94%

Question 8

these advanced airway devices can be placed while CC continue

Answer 8

laryngeal mask airway
laryngeal tube
esophageal - tracheal tube

Question 9

Circulation

Answer 9

Monitor CPR quality -PETCO2 <10 mmHg, intra-arterial pressure - <20 mmHg (improve cpr quality)
attach monitor/ defib for arrhythmias or cardiac arrest rhythms

provide defibrillation/cardioversion

obtain IV/IO access

give appropriate drugs to manage rhythm and BP

Give IV/IO fluids if needed

Check glucose and temperature

Check perfusion issues

Question 10

Disability

Answer 10

check for neurologic function
Quickly assess for responsiveness, levels of consciousness, pupil dilation
AVPU: alert, voice, painful, unreponsive

Question 11

exposure

Answer 11

remove clothing to perform physical examination

look obvious signs of trauma, bleeding, burns, unusual markings, medical alert bracelets