primary survey basic Flashcards
what is the acronym for primary survey
DR(C)CABCDE
danger
response
(cat haem)
c-spine
airways
breathing
circulation
disability
expose and examine
what is involved in danger/ safe approach
check scene for danger to myself, crewmate, others
ppe
what is the acronym for response
and what does it mean
AVPU
alert
verbal
pain
unresponsive
what must you do when you enter before you examine
gain consent- must be mentioned in OSCE and if unable to gain consent, continue in best interests
what is involved in checking airway
check for foreign bodies
head tilt/chin lift or jaw thrust
laryngoscope
are they snoring?
select size of opa/npa
when would you use npa and how do you measure
nasal- measure from nose to jaw
use when a patient has a gag reflex
when would you use an op and how do you measure
measure from corner of mouth to jaw- use to maintain airway
what do you look for with breathing
observe chest for rise and fall
observe approx rate
auscultates for equal bilateral air entry
how do you check for circulation
observe approx rate, rhythm and depth of radial/ carotid pulse
what do you check within disability
pupil size, PEARL, mental state
remember- normal to them
where do you expose and examine
head to toe if necessary but keep dignity in tact
what does primary survey positive/ negative mean
positive= something wrong
negative= nothing abnormal
what observations could you do
HR, RR, BP, SPO2, Temp, BM
what is a normal HR
55-90 or 60-100
what is a normal RR
12-20
what is a normal BP
120/80- 140/80
what is a normal SPO2
94-99%
what is a normal temp range
36.9
what is a normal BM
4-8
how do you take a BM
prick the side of a finger on a non-dominant hand. stick a strip in the machine and then touch to the blood
what is a BP machine called
syphmomometre
what is temp reading also known as
tympanic
what are time-critical conditions
airway compromise
anaphylaxis
STEMI
CVA
sepsis
failing ventilation
severe breathlessness
severe haemorrhage
status epileptus
