Scene Safety Safety is focused on the well-being of the ECP protective gloves are always indicated Eye protection, protective clothing if scene involves hazardous material do not enter. A dead HERO can not safe life
Airway management Measure the airway from corner of patient jaw to the corner of mouth Open mouth chin-lift-head tilt technique. (medical) (jaw thrust trauma )
Airway management (cont) ensure airway is clean Insert airway upside down and rotate 180 degrees.
Breathing Determine is in normal parameters Check for character Determine good audible sounds bilateral
Circulation Check for character of pulse Rate Rhythm
Secondary Survey Baseline vital signs SAMPLE History Blood glucose Reflexes Glasco Coma Score
Vital signs Key signs used to evaluate the patient’s general condition The first set = baseline vital signs Status of these systems serves as your guideline for EVALUATING and MEASURING the P condition
SAMPLE history Signs & symptoms of the episode Allergies Medications Pertinent past history Last oral intake Events leading to injury
Blood Glucose Any patient GCS under 15 compulsory to check glucose level.
Reflexes and GCS The Glasco Coma Scale is of huge importance when evaluating patient in the pre- hospital setting.
Identify Dangerous Situations at the Scene
Look for following dangers before stepping out of unit : Oncoming traffic Unstable surface (loose gravel, slopes) Leaking gasoline Downed electrical lines Hostile bystanders Toxic materials
How do you obtain information at the scene of an accident?
Bystanders can be a good source for information Your senses, smell and look.
The Head-to-toe survey
The Head-to-toe assessment is best demonstrated practical
What sort of equipment should you have to perform the secondary survey? Sphygmomanometer Stethoscope Penlight torch Scissors