Pri Danger
mary Survey Overview of whether the situation is safe to attend and
the potential of whether additional support is required
DANGER
RESPONSE Response
<CATASTROPHIC HAEMORRHAGE OR C-SPINE Is the patient alert? AVPU
Alert- is the patient alert?
fracture >
Verbal- does the patient respond to voice commands?
AIRWAY Pain- does the patient respond to a painful stimulus
BREATHING Unresponsive
CIRCULATION
DISABILITY <C>:
Act immediately to control bleeding before continuing/
EXPOSURE, EVALUTE AND ENVIRONMENT
immobilise patient.
Airway Circulation
Take pulse: 60-100bpm and Peripheral refill
Is the patient’s airway secure? Obstructions? Regular laryngeal Is the pulse normal or thready? Weak? Bounding? I/IR/RI/II?
suction unit (LSU)? Is the patient indicating chest pain?
- Head tilt, chin lift/ Jaw thrust (Consider C-spine injury) Are there other haemorrhages that require management?
- Adjuncts: NPA and/or OPA
- Does the patient require specialist adjuncts? Does the patient feel/look :
Hot/sweaty/cold/clammy/pyrexic?
Breathing Is the skin mottled?
Normal ranges: 12-20bpm Skin temperature: hot? Cold extremities?
spO₂: >94 Are they perfused?
Is the patient in visible respiratory distress?
Cyanosis? Tripoding? AM use? Assess Rhythm.
IPPA- Inspect, Palpate, Percuss, Auscultate
mary Survey Overview of whether the situation is safe to attend and
the potential of whether additional support is required
DANGER
RESPONSE Response
<CATASTROPHIC HAEMORRHAGE OR C-SPINE Is the patient alert? AVPU
Alert- is the patient alert?
fracture >
Verbal- does the patient respond to voice commands?
AIRWAY Pain- does the patient respond to a painful stimulus
BREATHING Unresponsive
CIRCULATION
DISABILITY <C>:
Act immediately to control bleeding before continuing/
EXPOSURE, EVALUTE AND ENVIRONMENT
immobilise patient.
Airway Circulation
Take pulse: 60-100bpm and Peripheral refill
Is the patient’s airway secure? Obstructions? Regular laryngeal Is the pulse normal or thready? Weak? Bounding? I/IR/RI/II?
suction unit (LSU)? Is the patient indicating chest pain?
- Head tilt, chin lift/ Jaw thrust (Consider C-spine injury) Are there other haemorrhages that require management?
- Adjuncts: NPA and/or OPA
- Does the patient require specialist adjuncts? Does the patient feel/look :
Hot/sweaty/cold/clammy/pyrexic?
Breathing Is the skin mottled?
Normal ranges: 12-20bpm Skin temperature: hot? Cold extremities?
spO₂: >94 Are they perfused?
Is the patient in visible respiratory distress?
Cyanosis? Tripoding? AM use? Assess Rhythm.
IPPA- Inspect, Palpate, Percuss, Auscultate
