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Flashcards in Primary Survey Deck (21)
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1

Three P's

Preserve Life
Prevent Deterioration
Promote Recovery

2

Assessment

Quickly and accurately assess the patients condition.
Assess the priority for treatment compared with any other patient.

3

6 stages of pre-hospital care

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

4

Scene Safety

Look
Listen
Think
Act

5

First Time Every Time

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

6

Personal Protective Equipment

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

7

Look For Dangers

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

8

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.

9

Think about all you have seen and heard. Then:

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

10

Act

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

Primary Survey goals

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

12

Primary Survey DR-ABC

Danger
Response
Airway
Breathing
Circulation

disability
expose/evaluate

13

Airway management

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

14

Breathing management

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

Breathing assessment

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

16

Circulation assessment/management

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

Disability

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

18

Expose and Evaluate

Fully remove/loosen clothing to examine injuries

19

Primary Survey Length

1-2 minutes
"should I load and go or stay and stabilise"

20

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.

21

Minimum Equipment for each job.

Primary Response Pack
Defibrillator
Aspiration
Oxygen
Bag/Valve/Mask