Secondary Survey Ch. 6

Question 1

Assess head and face for- (4)

Answer 1

LACED
fontanelles
tenderness, step-off
crepitus

Question 2

Assess Eyes for (6)

Answer 2

injury- LACED
pupil size and reaction symmetry
ptosis
extraocular movements - follow finger through 6 cardinal positions
tracking of objects in 6 positions of gaze
gross visual acuity - >4 tumbling Es, < 4 shapes objects

Question 3

Assess Ears

Answer 3

LACED T (Tenderness)
battles sign
drainage bleeding
DO NOT PACK DRAINING EAR

Question 4

Assess Nose (2)

Answer 4

LACED & Tenderness (LACED T)

drainage

Question 5

Neck and spine assessment (3).

Answer 5

LACED T
JVD
SC emphysema

Question 6

Assess Chest (6)

Answer 6

R3 (rate, rythm, rise-depth/symmetry)
WOB
LACED T
Scars
SC emphysema
Listen to lungs and heart

Question 7

Assess Abdomen and Flank (4)

Answer 7

LACED T
distention, rigidity
scars
auscultate BS

Question 8

Assess pelvis perineum (4)

Answer 8

LACED T
blood or drainage from urethra or rectum
priapism
pelvic stability

Question 9

Assess Extremities (7)

Answer 9

LACED T
scars
pulses
temp
moisture
cap refill
ROM

Question 10

Secondary survey begins with which letter?

Answer 10

H Health History and Head to Toe Assessment

Question 11

Secondary Survey mneumonic

Answer 11

H and I & J
Health History and Head to toe assessment
Inspect posterior surfaces
Just keep assessing!