Primary Survey
MARCH
What is the acronym used to describe the primary survey?
Massive Hemorrhage
Airway w/c-spine
Respirations
Circulation
Hike/Heli & Hypo/hyperthermia
The three components of the secondary survey.
What are:
Physical Exam
SAMPLE History
Vital signs
The definitive sign that would indicate a patient has suffered a concussion requiring evacuation.
What is loss of consciousness?
Five body cavity areas that patients may lose significant amounts of blood into.
Chest, Abdomen, Renal, Pelvis, Thigh
Abdominal pain that persists for this long should be evacuated.
What is 24hrs?
The four components of the scene survey.
What are:
Scene safety, MOI, BSI, & Triage?
SAMPLE
Signs/Symptoms, Allergies, Medications, Past Med History, Last ins/outs, Events
When a focused spinal assessment takes place in relation to the overall assessment and treatment of the patient.
After a complete patient assessment
The medical condition that results from low blood volume.
What is Hypovolemic shock?
The type of dislocations that may not need evacuation, even if the patient has never dislocated this joint before.
Simple finger
The first way that we protect a patient's spine when the patient is alert.
What is ask them to keep their neck still?
It is best if the patient does not know when you are checking this vital sign.
What is respiration rate?
Black and blue discoloration behind and below the ears.
What are battle signs?
The medical term used to describe what a patient does when the patient will not let you touch or push on an area of their body.
What is guarding?
The four elements of negligence.
Duty to care
Failure to perform
Loss or Injury
Causation
Four ways we check circulation in the primary survey.
CARTS, blood sweep, Check bilateral pulses, Check capillary refill/temperature
OPQRST
Onset, Provokes/Palliates, Quality, Radiation, Severity, Time
The OTC medication that is generally considered safe to take after a head injury.
Acetaminophin
This is how you would treat an impaled object.
Stabilize to minimize internal or external movement.
How you get your exact location with your smartphone in the wilderness without cell reception.
What is a phone app that does not require data to display GPS location?
Patients are often susceptible to this condition because, after sustaining an injury, they are not moving around very much.
What is hypothermia?
Where solid organs are located in the abdomen.
What are RUQ & LUQ?
The six parts of the focused spinal assessment.
Check the spine, Sensory/Motor, Pain/Psychological Distractions, Intoxication, Neuro -level of alertness, and Events -considering MOI.
The three types of dislocations we would consider reducing in the wilderness.
What are anterior shoulder, patella, and finger dislocations?
The three aspects of your patient's condition that you should consider when deciding whether or not to evacuate your patient.
What are: threat to life, usability, availability of necessary care?