ALERTDon appropriate personal protective equipment (PPE) based on the patient’s signs and symptoms and indications for isolation precautions. Show
Refer to the American Heart Association (AHA) interim guidelines for resuscitation of the patient with coronavirus disease 2019 (COVID-19) or a person under investigation (PUI) (Box 1).undefined#ref2">2 Do not begin the secondary assessment until the primary assessment is complete and resuscitation procedures have been initiated as indicated. Continue to monitor airway, breathing, circulatory, and neurologic status during the secondary assessment. If any life-threatening problems arise, return to the primary assessment and intervene as indicated. Prioritize and initiate interventions for injuries or conditions discovered in the secondary assessment after the entire head-to-toe examination is complete. OVERVIEWThe purpose of the secondary assessment is to rapidly and systematically assess injured patients from head to toe to identify all injuries and to rapidly and systematically assess critically ill patients when the cause of their signs and symptoms is unclear. Interventions for injuries or conditions discovered in the secondary assessment should be prioritized and initiated after the entire secondary assessment is complete. EDUCATION
ASSESSMENT AND PREPARATIONAssessment
Preparation
PROCEDURE
F = Full Set of Vital Signs and Family Presence
G = Get Monitoring Devices and Give Comfort
L = Laboratory Studies
M = Monitoring (Cardiac)
N = Nasogastric or Orogastric Tube
O = Oxygenation and Ventilation (SpO2, End-Tidal Carbon Dioxide [ETCO2])
P = Pain Assessment and Management
H = History and Head-to-Toe Assessment
Head and Face
Neck
Chest
Abdomen and Flanks
Pelvis and Perineum
Extremities
I = Inspect Posterior Surfaces
J = Just Keep Reevaluating
Completing the Procedure
MONITORING AND CARE
EXPECTED OUTCOMES
UNEXPECTED OUTCOMES
DOCUMENTATION
PEDIATRIC CONSIDERATIONS
OLDER ADULT CONSIDERATIONS
REFERENCES
Elsevier Skills Levels of Evidence
Which factors must be kept in mind when performing a secondary assessment?Which of these factors must be kept in mind when performing a secondary assessment?. Conduct a head-to-toe assessment.. Gather information regarding the victim and the incident, including patient history.. Check and document vitals.. What is true about the secondary assessment?The secondary assessment is used after a primary assessment has been done. This is where the clinician goes through step by step head-to-toe to figure out what happened. This can include but is not limited to inspection, bony and soft tissue palpation, special tests, circulation, and neurological.
Which of the following activities are essential to the EMS system?Sharing information, providing assistance, and team work are essential to the EMS system.
Which of the following are the correct first aid measures for an object in an eye?Gently lift the upper or lower eyelid, and use a clean, wet washcloth to wipe the object away. If this does not work, seek immediate medical attention. If you are not able to easily remove the object, do not force it. Go immediately to an eye doctor or to an emergency room, or call 911.
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