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Step 1 ( Scene size up)
PENMAN
Step 2 ( General impression)
Alert?
Tracking? Position? Bleeding?
Step 3 ( introduction to pt)
ANOx4
ABC ( trauma is CAB)
airway- patent and maintainable
breathing- equal rise and fall of chest
circulation- strong pulse, warm dry pink skin, no apprent lacerations
Step 4
Make them a priority patient
Step 5 ( securing patient to backboard)
partner maintains C-spine
PMS
pulse, motor function, sensory
Check neck- disformities? tenderness? bleeding? JVD? tracheal deviation?
apply c- collar while partner maintains c-spine
roll patient on unijured side and check back
lower onto backboard on the count of the head holder
adjust as necessary
secure body straps and secure head bed
hips, nips, thighs
PMS
TRANSPORT
Step 6
if concious get AMPLE
Step 7
Vitals
Step 8
DCAP- BTLS
Deformities
Contusions
Abrassions
Penetrations
Burnts
Tenderness
Lacerations
Swelling
Secondary assesment ( skull)
Depressions? Hematoma? Blood Brain matter?
Secondary assesment ( eyes)
pupils equal and reactive to light
Secondary assesment ( nose)
deformity? CSF? blood?
Secondary assesment ( mouth)
blood? Vommit? Obstruction? Debris? Broken teeth? Jaw stability?
Secondary assesment ( ears)
CSF? Blood? battle signs?
Secondary assesment ( facial bones)
Visual deformities?
Secondary assesment ( neck)
JVD? TD?
Secondary assesment ( clavicle and shoulders)
stable?
Secondary assesment ( chest)
flail segment?
sucking chest wound?
Lung sounds?
Secondary assesment ( abdomen)
palpate att 4 quadrants? Guarding? Rigidity? Distention?
Secondary assesment ( pelvis)
stable
Secondary assesment ( lower and upper extremities)
offsetting pressure, PMS
Step 10
Treatment of secondary injury
bandage
splint
Step 11
Reassement
PMS every 15 minutes
Vital signs and LOC every 5 minutes
Step 12
Turnover of care