Flashcards in Trauma Deck (11):
Describe the Primary Survey
ABC's. Life threatening conditions are identified and treated.
Primary Survey: A
Airway. With cervical spine control. If patient is speaking, it is patent. Assess for blood, obstruction, noisy breathing, secretions. Treat as needed. Jaw thrust, LMA, ETT, Surgical airway
Primary Survey: B. Life threatening conditions?
Breathing. Aspiration, tension pneumothorax, open pneumothorax, flail chest, spinal cord injury, head injury,
Primary Survey. C. 3 elements of observation.
1. Level of consciousness. IMparied when blood volume reduced by half
2. Skin color
Primary Survey. D.
Disability. Neurological status. (AVPU)
V: Responds to vocal stimuli?
P: Responds to painful stimuli?
Assess movement of all extemities
Primary Survey: E.
Standard Resuscitation during primary survey
1. Supplemental O2
2. Two large bore IV
3. 2 Liters crystalloid then PRBCs. MTP prn
5. Urinary and gastric catheters.
Secondary Survey: Head and neck
Nares and oropharynx.
TM and external auditory canal
Neck/C-Spine: JVD. tracheal deviation, subQ air. Palpate C-spine.
Glascow Coma Scale Scoring
Pain Localizes: 5
Decorticate flexion: 3
Estimated Fluid and Blood Requirements. Class 1-4. Class 3 criteria?
Blood Loss: 1500-2000
Respiratory Rate: 30-40
Urine Output: 5-15 ml/hr
Mental Status: Anxious and Confused
Fluid Replacement: PRBC