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Primary Survey Log roll : count down

before and
and state

( Stl A) RES pace angle


1 -

holding shoulder + hip


person
scene survey person 2 -

holding C -

spine

Hello / help + AVPU


ACBCSSS
Breathing : "
are
you having any
trouble
breathing ?
"

EMCAP -

Check for weird sounds


-
check chest rise
environment
-

-
mechanism of
injury
-

casualties Circulation :
"
do you have any
chest
pain?
"
-

additional resources
-

PPE neck if unconscious


( carotid)
general
+
impression
-
arm if conscious
( radial )
introduce qualifications
yourself +
-
wet check ( check for blood )
ask for consent

ask not to move

survey body : RTS


ask what
happened

A wake
" Shock :
drop of blood flow
I'm trained in 1st
lack of to
✓ Responds to
help
"
oxygenation organs
you?
aid can I
verbal stimuli ,

p Responds to -

provide warmth
painful stimuli
Unresponsive / decide
sort casualties :
triage
who needs help first

A irway Priority help ,


: _
if more casualties than
Treat
C airway ( and all critical) leave person with
-

spine 1st

ALWAYS breathing no vitals ( they're already dead )


Breathing circulation

circulation
C- spine

SSS

Airway
"
do have
-

you anything in "


could choke ?
your mouth you on

* check if unconscious *
airway

C- spine
"
: did hit head
you "
your ,
neck , or back

* ask
bystanders *
* don't
If know
you ,
assume C- spine *

*
Count down before
off *
switching
Breathing Emergencies Ventilation rates

baby : 3sec
-

child :
4sec
Signs
-

symptoms
+

adult
-
: 5sec
hyperventilation
-

* check ACBCS min


every
.

shortness of breath

6 medication
-

wheezing , stridor ,
cough rights
-

patient , dose , documentation


tripod position
-

-
meds in hand time
,
medication , route

Treatment conditions
-

Asthma
coaching breathing
-

triggers Anaphylaxis
-

remove
-

Ask Flail chest


history
-
-

monitor vitals Pneumothorax


-
-

-
911 if worsens

coaching
call 911
-

calm environment
always
box
breathing
-

breathing counts
-

5- 4-3-2-1
technique
-

Physical contact ( if appropriate)

Respiratory Arrest
-
No / insufficient
breathing
-

> 30 or < 8 breaths / min .

Cyanosis ,
cold / pale extremities

Change in LOC

Treatment
-

911 call

Assisted
breathing
-

-
No pulse = CPR
Circulation Emergencies Airway Emergencies

Angina + heart attack


Recognition :

Angina : Assess LOC


-

Pain in neck , chest ,


shoulders,
-

Pale in colour
back and arms

throat
Holding
-
-

Onset following exertion


-

2- 15min
Wheezing stridor snoring
- -

, ,

usually solved by rest


-

Heart attack :

choking
Pain neck , chest shoulders,
-

in
,
*
back and arms already familiar *

dip horatio dry ashen skin


-

, ,

-
nausea / vomiting
Opioid Overdose

Tia and stroke -

small pupils
TIA =
angina for a stroke
drug items
-

Balance loss
clammy pale skin
-

Eye loss weak / no heartbeat


-

vision

Facial droop
Arm or
leg weakness

slurred speech

Time / call 911 )

Bleeding +
Impalement
Impalement -

Stabilize +
pressure
-

Call 911

If in torso , assume C- spine

Bleeding
-

Pressure ✗ 2-

won't stop ,
Bleeding
-

apply tourniquet
Internal
bleeding
-

Call EMS
-

Treat for shock


-

Don't touch

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