The Emergency Ambulance Aid Primary Survey

1
The Emergency Ambulance Aid Primary Survey

• By James Stebbing

2
Learning Objectives

• To observe the primary survey
• To practise the primary survey

3
Structure

• D Danger
• R Response
• A Airway C - Considering C-Spine
• B Breathing
• C Circulation
• D Disability
• E Evaluate

4
Danger / Assessment

• Establish any Danger and decide whether or not to
  proceed.
• Assess scene, what has happened?
• At this stage decide if there is a mechanism.

5
Airway

• Consider C-Spine injury (if mechanism exists).
• Open airway appropriately (using Jaw thrust if
  necessary).

6
Breathing

• Assess not only if the patient is breathing but
  also how well
• Quick listen for breath
• Using stethoscope, listen for breath sounds
• Determine if patients breath sounds are equal.

7
Breathing

• Using stethoscope listen systematically to both
  sides of chest and back
• Ask patient to take breath (through mouth if
  possible)
• At the same time listen for breath sound

Front Back
8
Circulation

• Check Radial pulse for presence and strength
• (you are merely checking to see if Radial pulse
  is present as opposed to counting it)
• Absence of a radial pulse can indicate a low
  blood pressure (BP).

9
Disability

• Disability measures the level of consciousness
• A Alert
• V Responds to Voice
• P Responds to Pain
• U Unresponsive

10
Evaluation

• It is now time to decide Is your patient Time
  Critical or Not Time Critical
• If yes you will decide to request Paramedical
  assistance.

11
Practical Session
Any Questions?