Trauma Management - Page 3

The PRIMARY survey should detect immediately life-threatening injuries.

• Airway obstruction
• Open pneumothorax
• Flail chest
• Tension pneumothorax
• Massive hemothorax
• Cardiac tamponade
• Epidural Hematoma

By the end of the PRIMARY survey there should be:

• Cervical spine immobilization
• External hemorrhage control
• Brief neurological examination completed
• Full exposure and environmental control
• Supplemental oxygen
• TWO large bore intravenous lines
• ECG, BP, SaO2 monitoring
• Gastric and urinary catheters (unless ruled out by physical findings)
• Diagnostics and crossmatch
• Initial imaging
  
  and
• Fluid resuscitation commenced
• Immediately life threatening injuries ruled out