Emergent
Respiratory distress Chest pain with diaphoresis Stroke Active hemorrhage Unstable vitals
Urgent
Severe abdominal pain Renal colic Displaced or multiple fractures Complex or multiple soft tissue New onset respiratory infection (pneumonia)
Non urgent
Skin rash
Strains and sprains
Colds
Simple fracture
Mechanisms of injury
Blunt trauma
Blast effect
Acceleration/deceleration
Penetrating
Primary survey
Airway/cervical spine Breathing Circulation Disability Exposure
Airway/cervical spine
Jaw thrust/ not head tilting
Agonal breathing? Bag them
Breathing
Auscultate breath Expansion Effort Chest wall trauma Needle decompression Chest tube placement
Circulation
External hemorrhage: pressure
IV line- large bore, intraosseous
Run crystalloids
Blood- warm
Disability
Neuro assessment Alert Voice? Pain? Unresponsive
GCS
Exposure
Cut off clothing
Prevent hypothermia
Secondary survey
After immediate life threats
Head to toe
Folley
Pain
Diagnostic studies
SBIRT
Assess for drinking problem