Wednesday, February 7, 2018

SECONDARY Survey


SECONDARY Survey

Introduction

The secondary survey is only to be commenced after the primary survey has been completed and the patient is stable. Continue to monitor the patient's :

  • Mental state,
  • Airway, respiratory rate, oxygen saturation,
  • Heart rate, blood pressure, capillary refill time.


If there is any deterioration detected in these parameters, the primary survey MUST be repeated immediately and measures taken to rectify the problem.


Preparation

Before commencing the examination, develop a rapport with the patient , offer reassurance and explain what you are doing. Involve the parents or other adults accompanying the patient by telling them what you are doing and using them to comfort or distract attention of patient.
keep the patient warm and - as far as possible - covered.