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19 Cards in this Set

  • Front
  • Back

A is for

Airway, alertness & c-spine


B is for

Breathing and ventilation



C is for

Circulation and control of haemorrhage


*if obvious external haemorrhage CABC*

D is for

Disability (neuro status)

E is for

Exposure and environment


Undress and warm

F is for

Family presence and full set of vitals

G is for


Lmnop?

Get adjuncts


L- lab studies


M- monitor cardiac rhythm


N- consider naso/oro airway


O- oxygenation


P- pain

H is for

History and head to toe assessment



(SEC SURVEYEyes nose ears neck cspine chest abdo pelvis extremities)

I is for

Inspect posterior

What do you look for with A

Any obstructions

Assess B

Inspect: rr, depth, pattern, equal & bilateral, trachea position


Listen: quality, equality, bilateral


Feel: bony injuries, subcutaneous emphysema

Assess C

Inspect: any external haemorrhage, skin colour


Listen: muffled heart sounds


Feel: pulse, rate rhythm strength. Skin temp and feel

Assess D

GCS


PEARL


BM


ABG

Assess E

Undress patient - inspect injures and haemorrhage


Keep warm


Assess F

Regular vitals monitoring


Use family and consider culture and religion

Assess G

Lab studies- ABG, lactate, cross match


Monitor cardiac


Naso/oro airway consideration - optimise ventilation, help distension


Oxygen- Etco2 cap


Pain - manage

Assess H

ATMIST & SAMPLE



S- symptoms associated with injury


A - allergies & tetanus


M - medications


P- PMH


L- last meal


E - events and environment to


Injury


Head to toe assessment


(Eyes, ears, nose, neck/cspine, chest, abdo, pelvis/perineum, extremities.)

Eyes- pupil size, reaction, muscle function


Ears - clear fluid, bruising, lacerations


Nose- clear fluid, septum position


Neck- position of trachea, signs of surface trauma, feel for subcutaneous emphysema


Chest - rr, depth, effort, lung sounds, bilateral air entry, bony crepitus


Abdomen - distension, injury, listen for bowel sounds, feel for guarding and tenderness.


Pelvis- lacerations, priapism, blood, instability of pelvis


Extremities- neuro vascular status, bony injuries, skin colour, look for ports. Feel for pulses, bony injury, ROM


Assess I

Logroll.


Presence of blood, puncture wounds etc


Tenderness


PR exam - tone and sensation