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Primary Survey, Summaries of Nursing

Oxford House CollegeNursing

Primary Survey - <C>ABCDE. Catastrophic Haemorrhage Control. Airway (and cervical spine control where appropriate) ... RESUSCITATION. FLUID. THERAPY. MONITOR.

Typology: Summaries

2021/2022

Uploaded on 09/12/2022

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Primary Survey - <C>ABCDE
Catastrophic Haemorrhage Control
Airway (and cervical spine control where appropriate)
Breathing and Ventilation (with oxygen where available)
Circulation and Haemorrhage Control
Disability or Neurological Deficit
Extremity / Environment / Exposure
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Primary Survey - ABCDE

C

atastrophic Haemorrhage Control

A

irway (and cervical spine control where appropriate)

B

reathing and Ventilation (with oxygen where available)

C

irculation and Haemorrhage Control

D

isability or Neurological Deficit

E

xtremity / Environment / Exposure

HEAD, NECK, TORSO LIMB(S)

CATASTROPHIC HAEMORRHAGE

FIELD DRESSING & PRESSURE

BLEEDING CONTROLLED

SECURE DRESSING CONTINUE ABC DRILLS & EVACUATE. INDICATE TIME ON CASUALTY THAT A TOURNIQUET WAS APPLIED.

TOPICAL HAEMOSTAT

HIGH PRESSURE BLEEDING WITH IDENTIFIABLE SOURCE

LOW PRESSURE BLEEDING WITHOUT SPECIFIC SOURCE

HEMCON

IF UNSUCCESFUL CONSIDER ALTERNATIVE

QUIKCLOT

FIELD DRESSINGS & DIRECT PRESSURE

YES

NO

C-A-T

COVER WOUND WITH DRESSING

MARK ‘T’ ON CASUALTY

FAILS OR INAPPROPRIATE

BLEEDING CONTROL

A AIRWAY

OPEN MOUTH

REMOVE FBO

SUCTION FLUIDS

OPA, NPA

COMBITUBE

LMA

ETI

SURGICAL AIRWAY

+O 2

C-SPINE CONTROL, WHERE APPROPRIATE

• CERVICAL PENETRATING TRAUMA – NO

• BLUNT CERVICAL TRAUMA – YES

B

B

BREATHING

NECK & CHEST ASSESSMENT

LOOKPALPATIONPERCUSSIONAUSCULTATION

T

TRACHEA

W

WOUNDS

E

EMPHYSEMA

L

LARYNGEAL INJURY

V

VEINS

E

EVERYTIME

A

AIRWAY OBSTRUCTION

T

TENSION PNEUMOTHORAX

O

OPEN PNEUMOTHORAX

M

MASSIVE HAEMOTHORAX

F

FLAIL CHEST

B

BLAST LUNG

C

CARDIAC TAMPONADE

ROLE 1

- ABC, NEEDLE DECOMPRESION, ASHERMAN CHEST SEAL

ROLE 2

- ABC, CXR, FAST, NEEDLE DECOMPRESION, ASHERMAN CHEST

SEAL, CHEST TUBE, RSI AND VENTILATION (ROLE 2+)