Secondary Survey

http://www.ProFirstAid.com A secondary survey is a head to toe exam of a patient who has an open airway, is breathing at least once every 5 seconds (12 breaths per minute), but is unconscious and showing signs of shock. This is done after EMS has been alerted. The proper position for a secondary survey is the same as rescue breathing, chest compressions, or using and AED. You extend the patients arm out from their body if possible, then straddle, but do not sit on, that arm. To begin the exam, if there is no suspected neck injury, tilt back the patients head and make sure their airway is open. Carefully feel the skull for soft spots or fracture points, then check your gloves for blood. Check the face and back of the neck, then go down one side and check the arm for fractures, deformities, or bleeding. After inspecting the other arm, press lightly on each side of the chest. Next press softly on all 4 quadrants of the abdomen. Check one leg and then the other for fractures or bleeding. When this is completed, inform EMS of your findings. While waiting for EMS you must continue to support airway, breathing, and circulation. You can then begin treating any bleeding and do shock management.

Category:

Education

Tags:

• First Aid
• Secondary
• Survey

[Doodle795]

@justcopacetic thanks . I love to learn about this stuff . :)

[justcopacetic]

sup! If a segment of ribs are broken it is dangerous.Patient trys 2 inhale & chest contracts like it should BUT the segment of broken ribs does the opposite - it moves outward. This is: Flail Chest. Treatment: place dressing over the segment & secure it by wrapping around a bandage. BUTnothing is needed 4fractured ribs b/c a dressing around the fractured rips would prevent inhalation. Lack of inhalation would prevent the lungs from fully filling up & fluid will collect there causing pneumonia.

[Doodle795]

What do you guys do if someone has a broken rib ? I am curious about this stuff . I love to learn . I know you can't really place a cast or anything on a rib . Is it kind of a self heal thing ?