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Flashcards in Primary Survey Deck (21)
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1
Q

Three P’s

A

Preserve Life
Prevent Deterioration
Promote Recovery

2
Q

Assessment

A

Quickly and accurately assess the patients condition.

Assess the priority for treatment compared with any other patient.

3
Q

6 stages of pre-hospital care

A
Survey the scene and approach
Primary Survey
Secondary Survey
Treatment regime & Transport
Reassessment
Pre-Alert
4
Q

Scene Safety

A

Look
Listen
Think
Act

5
Q

First Time Every Time

A

Am I Safe?
Is the Patient Safe?
Is the Environment Safe?
Do I Need Help?

6
Q

Personal Protective Equipment

A
Airwave Radio
Safety Boots
Hi-Vis Clothing
Stab-Vest
Gloves
Safety Goggles
Safety Helmet
7
Q

Look For Dangers

A

At the position of the patient.
For any obvious injuries.
How many patients there are.
For other services on scene.

8
Q

Listen For Dangers

A

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.

9
Q

Think about all you have seen and heard. Then:

A

About the priorities
About additional assistance
About a treatment regime
Mechanism of injury

10
Q

Act

A

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.

11
Q

Primary Survey goals

A

To determine resuscitative measures.
To identify immediately life threatening conditions.
To assess and treat all life threatening conditions.

12
Q

Primary Survey DR-ABC

A
Danger
Response
Airway
Breathing
Circulation

disability
expose/evaluate

13
Q

Airway management

A
in-line Cervical spine management.
Assess and ensure a patients airway.
Manual opening manoeuvre.
Consider suction.
OP/NP airway.
14
Q

Breathing management

A

Assess for 10 seconds.
Assess rate 29 requires intervention.
If absent ventilate with supplemental O2.
Administer appropriate O2 via mask or by assisted ventilations.

15
Q

Breathing assessment

A

Asses quality of ventilations.
Assess breath sounds for equality/abnormality.
Check chest wall for stability.
Correct any potentially life threatening conditions/injuries.

16
Q

Circulation assessment/management

A
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.
17
Q

Disability

A

Alert Voice Pain Unresponsive
Assess pupillary size and reaction
Record all finding and interventions.

18
Q

Expose and Evaluate

A

Fully remove/loosen clothing to examine injuries

19
Q

Primary Survey Length

A

1-2 minutes

“should I load and go or stay and stabilise”

20
Q

Time critical Conditions

A

If the patient has any problem with AIRWAY, BREATHING or CIRCULATION that cannot be immediately rectified then the patient must be considered TIME CRITICAL.

21
Q

Minimum Equipment for each job.

A
Primary Response Pack
Defibrillator
Aspiration
Oxygen
Bag/Valve/Mask