Primary survey Flashcards

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1
Q

What is done for airway during the OSCE primary survey?

A

Check if the patient is talking - if so then airway is clear. Check inside the mouth for anything notable

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2
Q

What is done for breathing during the OSCE primary survey?

A

abnormal posture or
breathing sounds
RAISE
Respiratory rate

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3
Q

What is done for circulation during the OSCE primary survey?

A

Capillary refill - central and peripheral

Pulse - both radial - check rate, rhythm, depth

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4
Q

What is done for disability during the OSCE primary survey?

A
PEARL
FAST
Blood glucose
re-check AVPU/GCS
Temperature
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5
Q

What is done for the FAST test as part of the disability check in the primary survey?

A

Face - is it symmetrical

Arms - Can they hold them up

Strength and speech - Grip test on two fingers and check speech is normal

Time - if there are symptoms, when was the onset

A positive or negative result

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6
Q

What does the RAISE acronym stand for?

A
Rhythm
Accessory muscle use
Injuries
The symmetry of the chest wall
Effort of breathing
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7
Q

What is a normal time for capillary refill?

A

hold for 5 seconds, and within 2 seconds after released for blood to reappear

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8
Q

What is a normal range for blood glucose?

A

4-7mmol/L

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9
Q

What is the purpose of a primary survey?

A

A organised method of assessing a patient for critical problems

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10
Q

How long should a primary survey take to complete?

A

90 seconds

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11
Q

Who do we complete primary survey on?

A

Patient

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12
Q

Is there a difference between medical and trauma primary survey?

A

Yes

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13
Q

If there is a concern with the primary survey what action should be taken?

A

Focus on that issue and correct it. big problems with CABC are time critical issues

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14
Q

What is a respiratory rate?

A

the number of breaths you take in a one-minute period

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15
Q

What is a normal respiratory rate?

A

12-20

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16
Q

How can you describe a fast respiratory rate using medical terminology?

A

Tachypnoea

17
Q

How can you describe a slow respiratory rate using medical terminology?

A

Bradypnea

18
Q

What can cause tachypnoea?

A

oxygen shortage - asthma, COPD, pneumonia

overheating - fever, heatstroke

19
Q

What can cause bradypnea?

A

Opioids
head injury
toxins

20
Q

What can 3 things can affect capillary refill?

A

Cold weather
Peripheral vascular disease
age

21
Q

What is the acronym for pupil response?

A
Pupils
Equal
And
Reactive
Light
Always