Primary Survey - Jeremy Stevens
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Primary Survey for Trauma Alfred Trauma Orientation
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Primary Survey - Jeremy Stevens
- 1. Preparation & Primary SurveyPreparation & Primary Survey Jeremy StevensJeremy Stevens Emergency PhysicianEmergency Physician
- 2. So, what do we want you to learn? • Key principles of preparing for major trauma – What can you do prior to patient arrival • Primary survey – Key components – and what in particular you’re looking for – Team approach – Potential pitfalls in the primary survey – Understand the role of adjuncts to the primary survey 2
- 3. Introduction • Initial reception and resuscitation – Large number of decisions and tasks in a shot period – pressure – Errors common • Error reduction – Systematic approach – all patients, all the time – Team – redundancy and efficiency – Prepare – decrease the number of tasks/decisions 3
- 4. The Call… • 36YOF. FSP MCA HEAD ON HIGH SPEED. GCS INITIALLY 3 NOW 10. HR 123 BP 103/69 SAO2 93% ON O2 RR 28. ETA 10MIN 4
- 5. Preparation 5 CalloutCallout Turn up & Dress UpTurn up & Dress Up FormsForms EquipmentEquipment
- 6. The Call… • 36YOF. FSP MCA HEAD ON HIGH SPEED. GCS INITIALLY 3 NOW 10. HR 123 BP 103/69 SAO2 93% ON O2 RR 28. ETA 10MIN 6
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- 9. Meet the team 9 Essential Consider E&TC Nursing x 3 Additional E&TC staff E&TC Consultant (team leader) Trauma Surgeon E&TC Registrar Trauma Consultant Trauma Registrar ICU Registrar Trauma Resident Specialty Registrar Anaesthetics Radiographer Trauma Orderly
- 10. Meet the team 10 Essential Consider E&TC Nursing x 3 Additional E&TC staff E&TC Consultant (team leader) Trauma Surgeon E&TC Registrar Trauma Consultant Trauma Registrar ICU Registrar Trauma Resident Specialty Registrar Anaesthetics Radiographer Trauma Orderly
- 12. Primary Survey – Early Life Threats 12
- 14. Adjuncts to Primary Survey PRIMARY SURVEYPRIMARY SURVEY Vital signsVital signs ABGsABGs PulsePulse oximeteroximeter and COand CO22 Urinary / gastric cathetersUrinary / gastric catheters unless contraindicatedunless contraindicated UrinaryUrinary outputoutput ECGECG FASTFAST Venous BloodVenous Blood Trauma SeriesTrauma Series
- 15. Primary Survey – Pitfalls 15
- 16. Team Dynamics 16 • Get involvedGet involved • Report back toReport back to the team leaderthe team leader
Hinweis der Redaktion
- 1-21Adjuncts to the Primary Survey Emphasize that adjuncts are done selectively, depending on the patient’s spectrum of injuries and physiologic responses.