Trauma Patient Assessment Head to Toe Check

secondary assessment

D:

Deformities

Secondary Assessment

C:

Contusions

Secondary Assessment

A:

Abrasions

Secondary Assessment:

P:

Punctures/Penetrations

Secondary Assessment

B:

Burns

Secondary Assessment

T:

Tenderness (palpate)

Secondary Assessment

L:

Lacerations

Secondary Assessment

S:

Swelling

Secondary Assessment

I:

Instability (Palpate)

Secondary Assessment

C:

Crepitus (Palpate)

Identify Head Bones (6)

Occipital, Parietal, Frontal, Temporal, Orbital, Zygomatic, Maxilla, Mandible

Identify Eyes: (2)

Racoon Eyes, Pupils

Identity Nose (4):

Singed Hair, Soot, Blood, Cerebrospinal fluid (CSF)

Identity Ears (3):

Blood, Cerebrospinal fluid (CSF), Battle Signs

Identify Mouth (2):

Oral Trauma, Obstruction

Identity Neck (7):

JVD, Tracheal, Spinal Step Off, Subcutaneous emphysema (Sub Emphysema), Stoma, Tracheostomy (Trach), Medical Tags

Identify Chest (7):

Shoulders, Clavicle, Sternum, Ribs, Sucking Chest Wound, Flail Chest, Paradoxical (Chest Rise), Accessory Muscle, Lungs (Auscultate), Medical Devices

Identify Abdominal (2):

DRGERM (Distantion, Rigidity, Guarding, Ecchymosis, Rebound, Masses), Pregnancy

Identify Pelvis (4):

Pelvis, Incontinences (Defecated, Urinated), Bleeding, Priapism (Boner)

Identify Legs (Femur) 3:

Palpate Offset Pressure, Palpate Femoral Pulse, Patella

Identify Legs (Lower) 3:

Palpate Tibia/Fibula Offset Pressure, CMS, Tats&Tracks

Identify Arms (4):

Humerus Offset pressure, Tats & Tracks, Ulna/Radius Offset Pressure, CMS

Identify Back (4):

Step Offs, Lung Sounds, Incontinences, Sacral Edema (swelling)