Patient safety in emergency room assignment

For patients with acute conditions other than injury

Assessment of the key life-saving elements of acute condition

care
(A systematic approach to non-injured person ensures that life-saving
interventions are performed and that no life-threatening conditions are
missed)
Is the PRIMARY survey conducted (ABCDE): Done Not
A primary survey should always be conducted first and is done
designed to detect and further prevent life-threatening injuries.
It is a must-do for all trauma patients.
A: Airway with cervical spine precautions.
B: Breathing and ventilation.
C: Circulation with haemorrhage control.
D: Disability (refers to the patient’s neurologic status).
E: Exposure (check the temperature of the patient and for
possible burns).
Now, the patient is stable and their vitals and physical signs should no
longer show signs of shock or deterioration.
Is the SECONDARY survey conducted (AMPLE): Done Not
A secondary survey is designed to be conducted once the done
patient is relatively stable and includes fact-finding about what
may have happened to the patient.

1
Other comorbidities must be identified because they can
also complicate the patient’s case.
A: Allergy to check if the patient is allergic to any food or
medications.
M: Medications that the patient is currently uses.
P: Previous medical history (Previous surgeries, hospital
admissions and current comorbidities).
L: Last meal (content and time).
E: Events/Environment related to the condition (any preceding
events).
Immediately after primary & secondary surveys:
WHO Medical Emergency Checklist.