Primary Survey - ABCDE
Primary Survey - ABCDE
Primary Survey - ABCDE
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<strong>Primary</strong> <strong>Survey</strong> - <strong>ABCDE</strong><br />
Catastrophic Haemorrhage Control<br />
Airway (and cervical spine control where appropriate)<br />
Breathing and Ventilation (with oxygen where available)<br />
Circulation and Haemorrhage Control<br />
Disability or Neurological Deficit<br />
Extremity / Environment / Exposure
CATASTROPHIC HAEMORRHAGE<br />
HEAD, NECK, TORSO<br />
LIMB(S)<br />
FIELD DRESSING<br />
&<br />
PRESSURE<br />
C-A-T<br />
BLEEDING<br />
CONTROLLED<br />
NO<br />
FAILS OR<br />
INAPPROPRIATE<br />
BLEEDING<br />
CONTROL<br />
TOPICAL<br />
HAEMOSTAT<br />
YES<br />
COVER WOUND<br />
WITH DRESSING<br />
HIGH PRESSURE<br />
BLEEDING WITH<br />
IDENTIFIABLE<br />
SOURCE<br />
LOW PRESSURE<br />
BLEEDING<br />
WITHOUT<br />
SPECIFIC SOURCE<br />
HEMCON<br />
IF UNSUCCESFUL<br />
CONSIDER<br />
ALTERNATIVE<br />
QUIKCLOT<br />
MARK ‘T’ ON<br />
CASUALTY<br />
SECURE<br />
DRESSING<br />
FIELD DRESSINGS & DIRECT PRESSURE<br />
CONTINUE ABC DRILLS & EVACUATE.<br />
INDICATE TIME ON CASUALTY<br />
THAT A TOURNIQUET WAS APPLIED.
RESPONSIVENESS<br />
YES<br />
NO<br />
BASIC MANEUVRES<br />
BREATHING<br />
NOT BREATHING<br />
ADEQUATE INADEQUATE ONE<br />
CASUALTY<br />
MORE<br />
CASUALTIES<br />
B A PULSE<br />
DEAD<br />
YES<br />
NO<br />
ABC<br />
CPR
A AIRWAY<br />
OPEN MOUTH<br />
REMOVE FBO<br />
SUCTION FLUIDS<br />
OPA, NPA<br />
COMBITUBE<br />
LMA<br />
ETI<br />
SURGICAL AIRWAY<br />
+O 2<br />
C-SPINE CONTROL, WHERE APPROPRIATE<br />
• CERVICAL PENETRATING TRAUMA – NO<br />
• BLUNT CERVICAL TRAUMA – YES<br />
B
B BREATHING<br />
NECK & CHEST ASSESSMENT<br />
LOOK<br />
PALPATION<br />
PERCUSSION<br />
AUSCULTATION<br />
T<br />
TRACHEA<br />
W WOUNDS<br />
E<br />
L<br />
V<br />
E<br />
EMPHYSEMA<br />
LARYNGEAL INJURY<br />
VEINS<br />
EVERYTIME<br />
A AIRWAY OBSTRUCTION<br />
T<br />
O OPEN PNEUMOTHORAX<br />
M MASSIVE HAEMOTHORAX<br />
F FLAIL CHEST<br />
B BLAST LUNG<br />
C CARDIAC TAMPONADE<br />
TENSION PNEUMOTHORAX<br />
ROLE 1 - ABC, NEEDLE DECOMPRESION, ASHERMAN CHEST SEAL<br />
ROLE 2 - ABC, CXR, FAST, NEEDLE DECOMPRESION, ASHERMAN CHEST<br />
SEAL, CHEST TUBE, RSI AND VENTILATION (ROLE 2+)
C CIRCULATION<br />
CATASTROPHIC HAEMORRHAGE CONTROL<br />
(IMPROVEMENTS)<br />
SHOCK<br />
YES<br />
PULS<br />
A. RADIALIS<br />
YES<br />
NO<br />
MAINTAIN<br />
FLUID<br />
THERAPY<br />
RESUSCITATION<br />
FLUID<br />
THERAPY<br />
MONITOR<br />
VITAL<br />
SIGNS<br />
NO<br />
D<br />
DISABILITY – AVPU, GCS, PUPILS<br />
E<br />
EXPOSURE, ENVIRONMENT, EXTREMITIES
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