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Flashcards in ITLS Primary survey Deck (18):
1

1st step Scene size up (SPERM)

Safety (standard precautions, PPE, scene hazards)
People (#of pts, bystanders)
Environment (date, time, weather)
Resources (backup, rescue)
Mechanism of injury

2

SPERM then Initial assessment

Initial assessment, sawlogs
Sex
Age
Weight
Life threatening bleed
Obvious injuries
General appearance
Skin colour
+
Purposeful movement
Pt positioning

3

Initial assessment then

CABC if needed

4

Initial assessment, assess for CABC, then

LOC
AVPU, CC/symptoms

5

LOC then

Airway. Consider C-spine here
Snoring, gurgling, stridor, silence, secretions

6

Airway then

Breathing
Present?
Rate, depth, effort

7

Breathing then

Circulation
Rate, rhythm, quality
Skin colour, temp, moisture, cap refill
Has bleeding been controlled?

8

Circulation then

Decide on rapid trauma survey or focused exam

9

Circulation then (rapid trauma exam)

Head and neck:
JVD, tracheal deviation

10

Head and neck then

Chest:
Asymmetry (w/paradoxical motion?)
Contusions, penetrations, tenderness, instability, crepitation
Breath sounds (present, equal, percussion)
Heart tones

11

Chest then

Abdomen:
Contusions, penetration, evisceration, DRT

12

Abdomen then

Pelvis
Tenderness, instability, crepitus

13

Pelvis then

Lower/upper ext
Obvious swelling, deformities
Motor and sensory function

14

Lower/upper ext then

Posterior:
Penetrations, obvious deformity.
Load and go

15

Load and go then

If radial pulse is present, pulse, breathing, BP
If altered mental status Pupils size, reactive, equal and GCS

16

GCS eyes

Spontaneous
Voice
Pain
None

17

GCS Verbal

Oriented
Confused
Inappropriate
Incomprehensible
Silent

18

GCS motor

Obeys
Localizes
Withdraws
Abnormal flexion
Abnormal extension
No movement