The On-Field Examination

Question 1

Ensure Scene is Safe

Answer 1

Step 1

Question 2

Put on gloves if visible bleeding

Answer 2

Step 2

Question 3

Stabilize head/cervical spine

Answer 3

Step 3

Question 4

Establish level of consciousness

Answer 4

Step 4

Question 5

Activate emergency system

Answer 5

Step 1 Not Conscious

Question 6

Establish airway.

Maintain cervical spine alignment if catastrophic injury can’t be ruled out.

Answer 6

Step 2 Not Conscious

Question 7

Establish presence/absence of breathing.
Establish presence/absence of pulse.
Expose chest.
Remove facemask.

Answer 7

Step 3 Not Conscious

Question 8

Quick secondary scan to ensure no open fractures or profuse bleeding.

Answer 8

Step 4 Not Conscious

Question 9

Monitor while waiting for emergency personnel.

Answer 9

Step 1 Breathing

Question 10

Rescue breathing.

Answer 10

Step 1 Not Breathing, Pulse Present

Question 11

Apply defibrillator pads; assess rhythm.

CPR/defibrillate as indicated.

Answer 11

Step 1 Not Breathing, No Pulse Present

Question 12

Establish what happened.
Identify location of pain.
Ask if able to move fingers/toes unless obviously moving.
Observe for gross deformity/profuse bleeding.

Answer 12

Step 1 Conscious

Question 13

Maintain stabilization.
Activate emergency system.
Remove facemask.

Answer 13

Step 1 Cervical Pain, Inability to move Extremities

Question 14

Palpate involved area for deformity.

Answer 14

Step 1 No Cervical Symptoms

Question 15

Immobilize.

Appropriate field removal.

Answer 15

Step 2A No Cervical Symptoms

Question 16

Assess AROM.

Single-plane stress tests.

Answer 16

Step 2B No Cervical Symptoms

Question 17

Appropriate field removal.
Further examination
RTP or other immediate management decision.

Answer 17

Step 3B No Cervical Symptoms