Secondary Survey in First Aid

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Questions and Answers

When is the secondary survey conducted?

  • When the patient's ABC's are unstable
  • Only if the primary survey is incomplete
  • When the patient's ABC's are stable (correct)
  • Immediately after the primary survey

What should be documented according to the text?

  • Only the secondary survey procedures
  • All procedures undertaken (correct)
  • Only the primary survey procedures
  • No documentation is required

What must be done if deterioration occurs during the secondary survey?

  • Repeat the primary survey
  • Interrupt the secondary survey and repeat the primary survey (correct)
  • Document the deterioration
  • Proceed with the secondary survey

What should the head examination during the secondary survey focus on?

<p>Scalp and ocular abnormalities, external ear and tympanic membrane, and periorbital soft tissue injuries (A)</p> Signup and view all the answers

What should the neck examination during the secondary survey focus on?

<p>Penetrating wounds, subcutaneous emphysema, tracheal deviation, and neck vein appearance (A)</p> Signup and view all the answers

Flashcards

When to do secondary survey?

The secondary survey is conducted once the patient's Airway, Breathing, and Circulation (ABCs) are stable, indicating they are not in immediate life-threatening danger.

Documentation?

All procedures undertaken during the patient's care should be thoroughly and accurately documented in their medical record.

Deterioration during survey?

If the patient's condition worsens at any point during the secondary survey, the survey should be immediately stopped, and a primary survey (ABC's) should be repeated to reassess and address any new or worsening life-threatening issues.

Head examination focus?

During the head examination, focus on identifying any scalp wounds or abnormalities, assess the eyes for any injuries or unusual findings, examine the external ear and tympanic membrane, and check for any injuries to the soft tissues around the eyes.

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Neck examination focus?

Examine the neck for penetrating wounds, feel for any air under the skin (subcutaneous emphysema), check if the trachea is in the midline, and observe the neck veins for distention or collapse.

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Study Notes

Secondary Survey

  • Only undertaken when patient's ABC's (Airway, Breathing, Circulation) are stable.
  • If deterioration occurs during this phase, it must be interrupted by another Primary Survey.

Key Components of Secondary Survey

  • Head Examination:
  • Scalp and ocular abnormalities
  • External ear and tympanic membrane
  • Periorbital soft tissue injuries
  • Neck Examination:
  • Penetrating wounds
  • Subcutaneous emphysema
  • Tracheal deviation
  • Neck vein appearance

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