Crew / patient safety. ask if it is safe to approach, this aspect must be established.
General observations, again you must ask examiner what you want to know, he will not tell you anything unless you ask.
This includes the mechanism of injury, position of patient and appearance of patient, ask. ask. ask. questions.
Check the level of response from the patient. Remember A.V.P.U.
ALL THE ABOVE CAN BE DONE ON APPROACH TO THE PATIENT AND JUST AS YOU REACH THEM, REMEMBER GENTLE STIMULUS.
Airway Head position appropriate for injury
2 Unstable C spine controlled.
3 Debris removed by finger sweep, abdominal thrusts.
4 Suctioning effective, circular motions from back of mouth/throat to front.
5 Airway oropharyngeal properly inserted, if required.
NOs 188.8.131.52. ONLY IF NECESSARY.
Breathing checked, if no breathing then follow C.P.R. procedures.
If inadequate breathing then assisted ventilations I.P.P.V. as required.
Check pulse, if no pulse then follow C.P.R. procedures.
Obvious serious haemorrhage must be controlled
Brief A.V.P.U. now completed.
1) Rapid examination for any obvious injury. Tell examiner what your doing and ask if there is anything to be found.
2) Correct treatment for injuries, ( should all know how to treat patients).
3) Recovery position if appropriate and indicated, remember the blanket. ( RECHECK AIRWAY)
4) Airway patency, you should never be far from checking the airway.
5) Give oxygen at the correct percentage. High dose unless an obvious coad patient.
Gain an A.M.P.L.E. history
Baseline checks established
Head to toe completed. (As you do the head to toe ask questions about every part of the body that you examine, this is the only way that you will get information from examiner.)
Correct treatment for injuries found during head to toe( you must be able to justify all your treatments and use of equipment, and also explain your reasons for treatments)
IF YOU'R NOT ASKING QUESTIONS, YOU SHOULD BE TELLING THE
EXAMINER WHAT YOU ARE DOING AND WHAT YOU'R
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