Osce

HeadtotoeTraumaPt

1
1.1
Skin

TRAUMAPT.HEADTOTOE
Head
Temperature signsofcyanosis pale,coldandclammy signsofhypoxia Feelandlookfordeformities Fractures/crepitus Swelling Bleeding Aretheeyesinjured Aretheypearl(usepupiltorch) FeeltheZygomaticboneforfractures ANYinstability Lookforfractures/tears/lacerations Deformities Bleeding CSF ANYinstability Lookforfractures Deformities Bleeding CSF Anyforeignbodies?(teeth,blood) Isthereaforeignodour? Lookforfractures,dislocation ANYinstability

Scalp

Eyes

Nose

Ears

Mouth

1.2

Neck

Checkforbleeding Checkforwounds Checkfordeformities Distendedneckveins Useofaccessorymuscles Tracheadeviation Subcutaneousemphysema Checkformedicalertnecklace Applycervicalcollar AdministerOxygen

1.3

Chest

Checkforinstability Checkfordeformity Checkforobviouswounds Auscultatethechest Isthereequalbilateralchestriseandairentry (6sectionsofchest) Istherewheezing/orotherirregularbreathing sounds MuffledSounds Checkforscars(surgical) Checkforpacemaker Checkforbruising

1/2

Osce 1.4 Abdomen

Checkforrigidness Checkforguarding Checkforoedema/swelling Distension Tenderness

HeadtotoeTraumaPt

Palpatetheabdomen (4quadrants)

Checkforwounds

Checkforscars(surgical) Checkforbruising

1.5

Pelvis

Checkforinstability Checkforwounds Isthept.incontinent? Male:priaprism

1.6
Legs Feet

Lowerextremitiesandfeet
Checkforwounds Checkfordeformities Checkforfractures Checkforswelling Checkforbruising Checkforneurovascularpatency Checkforwounds Checkfordeformities Checkforfractures Checkforswelling Checkforbruising Checkforpedaloedema Checkpedalpulse Checkcapillaryrefill CheckmotorfunctionBabinski

1.7

Upperextremitiesandhands
Checkforwounds Checkfordeformities Checkforfractures Checkforswelling Checkforbruising Checkradialpulse Checkformedicalertbracelet Checkcapillaryrefill

Arms Wristandhand

1.8

LOGROLLpt.lateralwithassistanceofbystanders

Checkforwounds Checkfordeformities Checkformarkings Checkforbruising Checkforscars Checkforsacraloedema

2/2