Secondary Survey

Question 1

What is aniscoria?

Answer 1

Uneven pupils

Question 2

What is clinical impression?

Answer 2

Your initial judgement of what is wrong with the patient

Question 3

What is chief complain?

Answer 3

A patients perception of what they think is wrong

Question 4

What is included in a sample history?

Answer 4

• signs and symptoms
• allergies
• medications
• past medical history
• last mea- events preceding injury

Question 5

How often do you check unstable vitals?

Answer 5

Every 5 minutes

Question 6

How often do you check a stable patients’ vitals?

Answer 6

Every 15 minutes

Question 7

What is involved in a neurological exam?

Answer 7

• ## motor or sensory

Question 8

What is a OPQRST pain assessment?

Answer 8

• Onset (what was happening when the pain started)
  -provocation ( does anything make the pain better/worse?)
• quality ( get patient to describe pain)
• referral (does the pain move anywhere)
• severity
• timing (what time did the pain start)

Question 9

What is the next step after it is confirmed that there are markers for multi-system trauma present?

Answer 9

Request ALS

Question 10

What are the markers for Multi-system trauma?

Answer 10

Systolic BP: <90
Respiratory rate: <10 or >29
Heart rate: 120
AVPU: V/P/U on scale mechanism of injury

Question 11

What does CSM stand for?

Answer 11

Circulation/sensory/motor

Question 12

What does BGL stand for?

Answer 12

Blood glucose level

Question 13

What is normal range BGL

Answer 13

4.0-10.0 mmol/aL

Question 14

What is tympanic temperature?

Answer 14

37°C in the ear

Question 15

What is MEWS

Answer 15

Medical Early Warning Scores

Question 16

What is GCS?

Answer 16

Glasgow coma score
(Type of neuro exam)