Flashcards in Primary Survey Deck (21)
Quickly and accurately assess the patients condition.
Assess the priority for treatment compared with any other patient.
6 stages of pre-hospital care
Survey the scene and approach
Treatment regime & Transport
First Time Every Time
Am I Safe?
Is the Patient Safe?
Is the Environment Safe?
Do I Need Help?
Personal Protective Equipment
Look For Dangers
At the position of the patient.
For any obvious injuries.
How many patients there are.
For other services on scene.
Listen For Dangers
For the patients breathing.
To what the patient is saying or noises they are making.
To witnesses or Bystanders.
Your colleagues, LFB, MPS, immediate responders etc.
Think about all you have seen and heard. Then:
About the priorities
About additional assistance
About a treatment regime
Mechanism of injury
People are depending on you.
Call for appropriate assistance without unnecessary delay.
Prioritise patients needs "sort & sieve"
Act calmly, confidently and to the best of your ability.
Primary Survey goals
To determine resuscitative measures.
To identify immediately life threatening conditions.
To assess and treat all life threatening conditions.
Primary Survey DR-ABC
in-line Cervical spine management.
Assess and ensure a patients airway.
Manual opening manoeuvre.
Assess for 10 seconds.
Assess rate 29 requires intervention.
If absent ventilate with supplemental O2.
Administer appropriate O2 via mask or by assisted ventilations.
Asses quality of ventilations.
Assess breath sounds for equality/abnormality.
Check chest wall for stability.
Correct any potentially life threatening conditions/injuries.
Assess pulse for 10 secs.
Assess pulse for: Rhythm, Rate, Volume
If absent begin cardiac compressions.
Arrest major Haemorrhage.
Assess peripheral perfusion & check capillary refill.
Alert Voice Pain Unresponsive
Assess pupillary size and reaction
Record all finding and interventions.
Expose and Evaluate
Fully remove/loosen clothing to examine injuries
Primary Survey Length
"should I load and go or stay and stabilise"
Time critical Conditions
If the patient has any problem with AIRWAY, BREATHING or CIRCULATION that cannot be immediately rectified then the patient must be considered TIME CRITICAL.