Trauma Secondary Survey

Question 1

Head

Answer 1

?pain
Lacerations, abrasions, haematomas, boggy masses
Fractures (depressed, open, base of skull)
CSF (ears, nose, eyes)
Teeth (missing, bleeding inside mouth)
GCS
PUPILS 
5HEDS

Question 2

Neck

Answer 2

?pain
lacerations, abrasions, haematomas
Irregularities in spine
Neurological examination
NEXUS Criteria

Question 3

Chest

Answer 3

?pain
Lacerations, abrasions, haematomas, penetrating trauma
Equal rise and fall
Midline trachea
Pneumothorax (Decreased A/E on auscultation, Spo2 <92% subcutaneous emphysema)
Tension Pneumothorax
Flail segment
Open pneumothorax

Question 4

Back

Answer 4

?pain
Irregularities in spine
lacerations, abrasions, haematomas, penetrating trauma
Neurological Examination
NEXUS Critera

Question 5

Abdomen

Answer 5

?pain
Lacerations, abrasions, haematomas, penetrating trauma
Palpate 4 quadrants (rigidity, tenderness, guarding)
Distended/ soft

Question 6

Pelvis

Answer 6

?pain
Lacerations, abrasions, haematomas, penetrating traumaa
Deformity
Neurovascular obs in legs

Question 7

Arms

Answer 7

?pain
Lacerations, abrasions, haematomas, penetrating trauma
Fractures (Deformity)
Neurovascular status

Question 8

Legs

Answer 8

?pain
Lacerations, abrasions, haematomas, penetrating trauma
Shortening, Rotation (internal/external)
Fractures (deformity)
Neurovascular status