Trauma Survey Flashcards
C-spine
Need to take Cspine?
If so, delegate partner
Scene Size Up
Donning BSI Noting the date, time and weather Do I see, hear, smell any hazards How many pts do I have? Calling for backup Any bystanders with any info? Chief complaint General appearance of pt Mechanism of injury
Level of consciousness
Ask about person, place, time, event
Asses AVPU
AVPU
Alert
Verbal
Painful
Unresponsive
ABCs
Airway
Open and clear? Head tilt chin lift or modified jaw thrust Suction OPA or NPA Smell any odours?
Breathing
Rate, rhythm and quality of breathing?
Administer O2 via ________ at ____ lpm
Circulation
Check pulse at radial and carotid
Rate, rhythm and quality of pulse
Pt’s skin condition?
Deadly wet check
Checking for obvious bleeds from head to toe
Load and Go
Is it a load and go, and why?
Primary Head to Toe
Head
Inspecting for DCAPBLS
Palpating for TIC
Are the Pupils Equal and reactive to Light
Any Battle Signs or Racoon Eyes?
Any discharge from eyes, ears, noes, mouth?
Neck
DCAPBLS TIC
Is the Trachea midline?
Any Jugular Vein Distention
C-Collar
Chest
DCAPBLS TIC
Subcutaneous Empmysema?
Flail chest or paradoxical motion?
Auscultation lungs at the spices and bases for equal and bilateral lung sounds
Abdomen
DCAPBLS
Palpating for DRT
Is pt. nauseous or have they vomited?
Pelvis
DCAPBLS TIC
Is pelvis stable?
Incontinence or Priapism?
Lower Extremities
DCAPBLS TIC
Circulation
Motor Movement
Sensation
Upper Extremities
DCAPBLS TIC
Circulation
Motor movement
Sensation
Back
DCAPBLS TIC
Load and go or stay and play
Move pt to ambulance
Bring bystanders!
In ambulance
Reasses LOC and ABCs
Vital Signs
Pulse Respiratory Rate Blood Pressure Skin Condition Temperature SPO2 - Oxygen Saturation BGL - Blood Glucose Level GCS - Glasgow Coma Scale
Sample HX (History)
Signs and symptoms Allergies Medications Past/Pertinent medical history Last Oral Intake Events leading up to incident
Secondary Head to Toe
Head
DCAPBLS TIC PERL Battle signs or Racoon eyes? Obvious discharge? Do I need to asses OPQRST?
Neck
DCAPBLS TIC
Trachea midline?
Jugular vein Distention?
Assess OPQRST?
Chest
DCAPBLS TIC Subcutaneous emphysema? Flail Chest or paradoxical motion? Auscultating lungs at apices and bases Assess OPQRTS?
Abdomen
DCAPBLS TIC
Nauseas or vomited?
Asses OPQRTS?
Pelvis
DCAPBLS TIC
Incontinence or priapism?
Assess OPQRST?
Lower Extremities
DCAPBLS TIC
CMS
Asses OPQRST.
Upper Extremities
DCAPBLS TIC
CMS
Assess OPQRST?
Back
DCAPBLS TIC
Assess OPQRST?
Critical Interventions
Reasses my critical interventions
Do I need to make any changes?
PATCH
Contact dispatch with information
