The primary survey in major trauma follows a strict ABCDE sequence so that immediately life-threatening problems are found and treated. Breathing assessment includes inspection of chest wall movement.
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This essay explains the primary survey in major trauma. The primary survey in major trauma follows a strict ABCDE sequence so that immediately life-threatening problems are found and treated before moving on. Airway with cervical spine control comes first: talk to the patient, look for obstruction, blood or vomitus, and keep the neck in a neutral position with manual in-line stabilisation. Breathing assessment includes inspection of chest wall movement, percussion, auscultation and pulse oximetry; tension pneumothorax, open chest wound and massive haemothorax must be excluded at this stage. Circulation addresses catastrophic haemorrhage, pulse quality, skin colour and capillary refill. In conclusion, nurses must document times and interventions carefully.
Closest source: Primary survey in major trauma (ABCDE) (89.1%)