TWELVE
Tracheal deviation Wounds/bleeding/bruising Emphysema (surgical) Laryngeal crepitus Venous engorgement Exclude - pneumo/haemo & flail chest
Airway HIGH FLOW
Assess & maintain patent airway & neutral c spine alignment, airway adjunct, high flow
Breathing
RR & depth
FLAPS TWELVE
Circulation
Reassess cat haem Assess pulses BP SPO2 Blood + 4 Chest/abdo/pelvis/long bones Access for TXA Cap refill
Disability
GCS Pupils Head injury Battle signs CSF Other bones BM
Expose/examine
Consider pain relief
Antiemitics
Secondary survey
ATMIST
Age, Time, Mechanism of injury, Injuries seen or suspected, Signs (vitals, GCS etc), Treatment given
FLAPS
Feel, Look, Auscultate, Percuss, Search