UNCONSCIOUS  CASUALTY

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.

 

                                           primary survey

 

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  2.3.4.5. ONLY IF NECESSARY.

 

BREATHING  

 

                        Breathing  checked, if no breathing  then  follow  C.P.R.  procedures.

                        If  inadequate  breathing  then  assisted  ventilations  I.P.P.V. as  required.

 

Circulation

 

                       Check  pulse, if  no  pulse  then  follow  C.P.R.  procedures.

                       Obvious  serious  haemorrhage  must  be  controlled

 

NEURO STATUS

 

                       Brief  A.V.P.U. now completed.

 

                          SECONDARY  SURVEY

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.

 

                                               HISTORY

 

      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

                                        LOOKING FOR.

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