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Principles and Techniques of Trauma Care

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PHASE III: SECONDARY SURVEY<br />

Head Exam<br />

– Scalp, eyes, ears<br />

– S<strong>of</strong>t tissues<br />

Neck Exam<br />

– Penetrating injuries<br />

– Swelling or crepitus<br />

Neurological Exam<br />

– Glasgow Coma Score<br />

– Motor examination<br />

– Sensory examination<br />

– Reflexes<br />

Chest Exam<br />

– Clavicles, ribs<br />

– Breath, heart sounds<br />

Abdominal Exam<br />

– Penetrating injury<br />

– Blunt injury: nasogastric<br />

tube<br />

– Rectal exam<br />

– Urinary catheter<br />

Pelvis <strong>and</strong> Limbs<br />

– Fractures<br />

– Pulses<br />

– Lacerations, ecchymosis<br />

37 |<br />

Emergency <strong>and</strong> Essential Surgical <strong>Care</strong> (EESC) programme<br />

www.who.int/surgery

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