primary survey basic Flashcards

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1
Q

what is the acronym for primary survey

A

DR(C)CABCDE
danger
response
(cat haem)
c-spine
airways
breathing
circulation
disability
expose and examine

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2
Q

what is involved in danger/ safe approach

A

check scene for danger to myself, crewmate, others

ppe

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3
Q

what is the acronym for response

and what does it mean

A

AVPU
alert
verbal
pain
unresponsive

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4
Q

what must you do when you enter before you examine

A

gain consent- must be mentioned in OSCE and if unable to gain consent, continue in best interests

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5
Q

what is involved in checking airway

A

check for foreign bodies
head tilt/chin lift or jaw thrust
laryngoscope
are they snoring?
select size of opa/npa

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6
Q

when would you use npa and how do you measure

A

nasal- measure from nose to jaw
use when a patient has a gag reflex

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7
Q

when would you use an op and how do you measure

A

measure from corner of mouth to jaw- use to maintain airway

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8
Q

what do you look for with breathing

A

observe chest for rise and fall
observe approx rate
auscultates for equal bilateral air entry

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9
Q

how do you check for circulation

A

observe approx rate, rhythm and depth of radial/ carotid pulse

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10
Q

what do you check within disability

A

pupil size, PEARL, mental state

remember- normal to them

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11
Q

where do you expose and examine

A

head to toe if necessary but keep dignity in tact

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12
Q

what does primary survey positive/ negative mean

A

positive= something wrong
negative= nothing abnormal

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13
Q

what observations could you do

A

HR, RR, BP, SPO2, Temp, BM

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14
Q

what is a normal HR

A

55-90 or 60-100

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15
Q

what is a normal RR

A

12-20

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16
Q

what is a normal BP

A

120/80- 140/80

17
Q

what is a normal SPO2

A

94-99%

18
Q

what is a normal temp range

A

36.9

19
Q

what is a normal BM

A

4-8

20
Q

how do you take a BM

A

prick the side of a finger on a non-dominant hand. stick a strip in the machine and then touch to the blood

21
Q

what is a BP machine called

A

syphmomometre

22
Q

what is temp reading also known as

A

tympanic

23
Q

what are time-critical conditions

A

airway compromise
anaphylaxis
STEMI
CVA
sepsis
failing ventilation
severe breathlessness
severe haemorrhage
status epileptus