Primary and Secondary Survey
A: Airway – Check airway patency
B: Breathing – Check rise and fall of chest / symmetrical breathing etc
C: Circulation- How well perfused? Check pulse, cyanosis
D: Disability- Neuro – Are they conscious, can they talk to you?
Primary survey is a quick “eyeball” assessment of patient to ascertain priorities.
E: Environment / Expose- Unwrap and expose looking for obvious external trauma
F: Fahrenheit: – Assess body temperature- ? hypothermia
G: Get Vitals- Quick set of obs – BP,HR,RR, ?SpO2
H: History- Present History – Events related to current status
Related History – Things leading up to this event
Past History –Briefly Med / surg / Medication / Allergies / Last meal
Head to Toe or systems assessment – Depending on patient status may undertake a more thorough assessment of each system eg
Cardiac – Postural BP, Chest pain assessment, listen to heart sounds, JVP
Resp- Listen breath sounds, percuss lungs, peak flow
Other systems assessed are Neuro, GIT, Renal and integumentary.
I: Interventions- Reposition, Drug therapy eg oxygen,. Nitrates, nebs
I: Investigations- Depends on all of above findings but may range from ECG, BSL.