PHTLS Primary Assessment
1. Assessment - ANS Scene safety, BSI. Be specific to the call.
2. Assessment - ANS Park vehicle in safe/convenient location
3. Assessment - ANS Determine number of patients, inner/outer circle
4. Assessment - ANS Call for additional resource: engine, rescue, police
5. Assessment - ANS Determine MOI if possible, potential injuries/trauma alert
6. General Impression - ANS Age, Sex, Weight. <16 Child on PBC trauma score card, 55+ =
One Blue
7. General Impression - ANS Obvious Hemorrhage
8. General Impression - ANS Obvious Deformities, rarely life threatening
9. General Impression - ANS Awake or unresponsive, if awake gather history
10. Primary Survey - ANS Cervical Spine Precautions if necessary. Manual stabilization first
11. Primary Survey - ANS Exsanguinating hemorrhage, control with direct pressure then
tourniquet. Place tourniquet as proximal as possible, tourniquet may be utilized first if available
12. Head/airway - ANS Is the airway patent? Obstructed? Snoring - Jaw thrust then adjunct.
Gurgling - suction then adjunt
13. Head/airway - ANS Rough check of the head. Bleeding? Deformities?
14. Head/airway - ANS Pupils - check for movement and symmetry.
15. Breathing - ANS Assess rough, rate, quality and depth - o2 treatment based on rough rate.
Normal >10/<30 = provide high flow O2 to maintain >94%
Slow <10, very fast >30 assist w/ BVM and adjunct
Apneic = BVM w/ adjunct
16. Breathing - ANS Expose, examine, palpate chest
17. Breathing - ANS Auscultate lung sounds (R/L once)
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