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2026
Scene Size up
BSI
Scene
safety
NOI/MOI
Number of Patients
,AlS, additional
resources C-spine
consideration
General Impression
C-spine manual stabilization
LOC
Chief complaint (patient tells you)
Airway, 1. Is it open? 2. Will it stay open?
Breathing, 1. Rate, ease, depth 2. O2
Circulation 1. Blood sweep, 2. Pulse 3.
CCT Decision 1. Stay and play? 2 load and
go?
General Impression
C-spine manual stabilization
LOC
Chief complaint (patient tells you)
Airway, 1. Is it open? 2. Will it stay open?
Breathing, 1. Rate, rhythm, quality 2. O2
Circulation 1. Blood sweep, 2. Pulse 3.
CCT Decision 1. Stay and play? 2 load and
go?
Secondary Trauma assessment MOI
RTA (rapid trauma assessment)
-DCAPBTLS
Full set of
vitals Sample
Reassessment
, Secondary assessment Nature of illness patient
OPQRST
Sample
Focused
Exams vitals
Field
Impression
Intervention
Reassessment
LOC level of alertness
Alert 1. Person 2. Place 3. Time 4. Event
Verbal
Pain
Unresponsive
CCT
Color: Pale, Pink, Ashen, Cyanotic
Condition: dry, clammy, diaphoretic
Temperature: warm, cool
OPQRSTI
Onset, did it come on or gradually?
Provocation, anything make it better or
worse? Quality, describe it for me, is it
sharp/dull?
Radiation, where else do you feel it?
Severity, on scale 1-10 10 being the worst
Time: how long
Interventions: what have you administered to yourself to make it better?