Primary Survey - <C>ABCDE

Catastrophic Haemorrhage Control

Airway (and cervical spine control where appropriate)
Breathing and Ventilation (with oxygen where available)
Circulation and Haemorrhage Control
Disability or Neurological Deficit
Extremity / Environment / Exposure
 CATASTROPHIC HAEMORRHAGE

HEAD, NECK, TORSO LIMB(S)

C-A-T
FIELD DRESSING
&
PRESSURE

FAILS OR BLEEDING
INAPPROPRIATE CONTROL
BLEEDING NO
CONTROLLED

TOPICAL
HAEMOSTAT

YES
COVER WOUND
WITH DRESSING

LOW PRESSURE
HIGH PRESSURE
BLEEDING
BLEEDING WITH
WITHOUT
IDENTIFIABLE
SPECIFIC SOURCE
SOURCE

IF UNSUCCESFUL MARK ‘T’ ON

HEMCON CONSIDER QUIKCLOT CASUALTY
ALTERNATIVE

FIELD DRESSINGS & DIRECT PRESSURE

SECURE
DRESSING

CONTINUE <C>ABC DRILLS & EVACUATE.

INDICATE TIME ON CASUALTY
THAT A TOURNIQUET WAS APPLIED.
 RESPONSIVENESS
YES NO

BASIC MANEUVRES

BREATHING NOT BREATHING

ADEQUATE INADEQUATE ONE MORE

CASUALTY CASUALTIES

B A PULSE DEAD

YES NO

ABC CPR
 A AIRWAY

OPEN MOUTH

REMOVE FBO
SUCTION FLUIDS

OPA, NPA
COMBITUBE
LMA +O2
ETI
SURGICAL AIRWAY

C-SPINE CONTROL, WHERE APPROPRIATE

• CERVICAL PENETRATING TRAUMA – NO

• BLUNT CERVICAL TRAUMA – YES

B
 B BREATHING
NECK & CHEST ASSESSMENT
LOOK
PALPATION
PERCUSSION
AUSCULTATION

T TRACHEA A AIRWAY OBSTRUCTION

W WOUNDS T TENSION PNEUMOTHORAX
E EMPHYSEMA O OPEN PNEUMOTHORAX
M MASSIVE HAEMOTHORAX
L LARYNGEAL INJURY
F FLAIL CHEST
V VEINS
B BLAST LUNG
E EVERYTIME
C CARDIAC TAMPONADE

ROLE 1 - <C>ABC, NEEDLE DECOMPRESION, ASHERMAN CHEST SEAL

ROLE 2 - <C>ABC, CXR, FAST, NEEDLE DECOMPRESION, ASHERMAN CHEST
SEAL, CHEST TUBE, RSI AND VENTILATION (ROLE 2+)
 C CIRCULATION CATASTROPHIC HAEMORRHAGE CONTROL
(IMPROVEMENTS)

MAINTAIN
FLUID
YES THERAPY MONITOR
PULS
SHOCK YES VITAL
A. RADIALIS
NO RESUSCITATION SIGNS
FLUID
THERAPY
NO

D DISABILITY – AVPU, GCS, PUPILS

E EXPOSURE, ENVIRONMENT, EXTREMITIES