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  • Primery Survey

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    Anonymous jGnhWPx
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    This document provides guidance on conducting a primary survey to quickly identify and treat any life-threatening issues in a trauma patient. The primary survey follows the ABCDE approach: (A) Airway management including opening the airway and checking for obstructions; (B) Breathing assessment including rate, effort, and oxygenation with treatment including supplemental oxygen or ventilation; (C) Circulation assessment including pulse, bleeding, skin signs and blood pressure with treatment including IV access, fluid resuscitation, and bleeding control; (D) Disability assessment of neurological status using the AVPU scale to evaluate consciousness and pupil reaction. The primary survey should be completed within 2-5 minutes to simultaneously identify and

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    This document provides guidance on conducting a primary survey to quickly identify and treat any life-threatening issues in a trauma patient. The primary survey follows the ABCDE approach: (A) Airway management including opening the airway and checking for obstructions; (B) Breathing assessment including rate, effort, and oxygenation with treatment including supplemental oxygen or ventilation; (C) Circulation assessment including pulse, bleeding, skin signs and blood pressure with treatment including IV access, fluid resuscitation, and bleeding control; (D) Disability assessment of neurological status using the AVPU scale to evaluate consciousness and pupil reaction. The primary survey should be completed within 2-5 minutes to simultaneously identify and

    Copyright:

    © All Rights Reserved
    Scarica in formato PPTX, PDF, TXT o leggi online su Scribd
    Segnala contenuti inappropriati
    23 visualizzazioni11 pagine

    Primery Survey

    Caricato da

    Anonymous jGnhWPx
    This document provides guidance on conducting a primary survey to quickly identify and treat any life-threatening issues in a trauma patient. The primary survey follows the ABCDE approach: (A) Airway management including opening the airway and checking for obstructions; (B) Breathing assessment including rate, effort, and oxygenation with treatment including supplemental oxygen or ventilation; (C) Circulation assessment including pulse, bleeding, skin signs and blood pressure with treatment including IV access, fluid resuscitation, and bleeding control; (D) Disability assessment of neurological status using the AVPU scale to evaluate consciousness and pupil reaction. The primary survey should be completed within 2-5 minutes to simultaneously identify and

    Copyright:

    © All Rights Reserved
    Scarica in formato PPTX, PDF, TXT o leggi online su Scribd
    Segnala contenuti inappropriati
    di 11

    Primery Survey

    Group 2
    Definition
    Primary surveys are preliminary assessments of
    patients, aiming to identify quickly and
    systematically and take action on any life-
    threatening issue. Primary surveys should be
    conducted in no more than 2-5 minutes.
    Simultaneous treatment of trauma can occur when
    there are more than one life-threatening situation
    Menagement Primery Survey (A-B-C-
    D)
    Airway Management
    Talking to the patient
    Check response shout for help

    Open airway check breathing


    Assessment
    Look
    Listen
    Feel
    Airway obstruction
    Management of the airway
    Head Tilt (head extension)
    Chin Lift (lift chin)
    Jaw Thrust (pushing the jaw)
    Orofaringeal Airway (Guedel)
    Breathing and Ventilation-Oxygenation
    Assessment
    Normal breathing.
    Adult: 16-24 x / i
    Children: 15-45 x / i
    Baby: 30-50 x / i

    Shortness of breath
    Patients complain of tightness
    Breathing fast
    Respiratory Nose Breathing
    Use of additional breathing muscles

    There may be cyanosis


    Physical examination
    Inspection (Look

    Cyanosis

    Trauma puncture

    The presence or absence of chest wall movement

    Injuries to the chest

    Is there any use of additional breathing muscles

    Palpation (Feel)

    Tracheal shift

    Fracture costae

    Subcutaneous emphysema

    Pneumothoracic

    Auscultation (Listen)

    Pneumothorac (breath sounds decreased in the trauma

    area)
    Detection of abnormal sounds to the chest
    Management
    Administration of high concentration

    oxygen (nonrebreather mask 11-12 liters /


    min)
    Ventilation with Bag Valve Mask
    Eliminates tension pneumothorax
    Closes open pneumothorax
    Installed a pulse oximeter
    Circulation management
    Checking the pulse (radialis or carotis)

    Circulation with bleeding control


    Assessment

    Know the source of fatal external bleeding

    Know the source of internal bleeding


    Check the pulse: speed, quality, regularity,

    pulsus paradoxus. The absence of pulsation


    from large arteries is a sign of the need for
    immediate massive resuscitation.
    Check the skin color, recognize the signs of

    cyanosis.
    Check the blood pressure
    Management
    Direct emphasis on external sources of bleeding
    Recognize internal bleeding, the need for surgical

    intervention and consultation with the surgeon.


    Install 2 large-sized IV catheters and take blood

    samples for routine examinations, blood chemistry,


    pregnancy tests (in women of childbearing age), blood
    type and cross-match and Blood Gas Analysis (BGA).
    Give liquid crystalloid that has been warmed with fast

    droplets.
    Install PSAG / pneumatic splints for bleeding control in

    patients with life-threatening pelvic fractures.


    Prevent hypothermia.
    Disability
    Towards the end of the primary survey, a rapid

    evaluation of the neurological state was performed.


    What is considered here is the level of consciousness,
    as well as the size and reaction of the pupil. A simple
    way to assess awareness is the AVPU method.
    A : Awake (full awake)
    V : responds to Verbal command (no reaction to the
    command)
    P : responds to Pain (no reaction to pain)
    U : Unresponsive (no reaction)
    THANKS YOU

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