Primary Survey - <C>ABCDE Catastrophic Haemorrhage Control Airway (and cervical spine control where appropriate) Breathing and

Ventilation (with oxygen where available) Circulation and Haemorrhage Control Disability or Neurological Deficit Extremity / Environment / Exposure

CATASTROPHIC HAEMORRHAGE

HEAD, NECK, TORSO

FIELD DRESSING & PRESSURE

LIMB(S)
C-A-T

BLEEDING CONTROLLED

FAILS OR INAPPROPRIATE NO

BLEEDING CONTROL

TOPICAL HAEMOSTAT YES COVER WOUND WITH DRESSING HIGH PRESSURE BLEEDING WITH IDENTIFIABLE SOURCE LOW PRESSURE BLEEDING WITHOUT SPECIFIC SOURCE

HEMCON

IF UNSUCCESFUL CONSIDER ALTERNATIVE

QUIKCLOT

MARK T ON CASUALTY

FIELD DRESSINGS & DIRECT PRESSURE SECURE DRESSING CONTINUE <C>ABC DRILLS & EVACUATE. INDICATE TIME ON CASUALTY THAT A TOURNIQUET WAS APPLIED.

RESPONSIVENESS
YES NO BASIC MANEUVRES

BREATHING

NOT BREATHING

ADEQUATE

INADEQUATE

ONE CASUALTY PULSE YES NO

MORE CASUALTIES DEAD

ABC

CPR

A AIRWAY
OPEN MOUTH

REMOVE FBO SUCTION FLUIDS

OPA, NPA COMBITUBE LMA ETI SURGICAL AIRWAY

+O2

C-SPINE CONTROL, WHERE APPROPRIATE

CERVICAL PENETRATING TRAUMA NO BLUNT CERVICAL TRAUMA YES

B BREATHING
NECK & CHEST ASSESSMENT
LOOK PALPATION PERCUSSION AUSCULTATION

T W E L V E

TRACHEA WOUNDS EMPHYSEMA LARYNGEAL INJURY VEINS EVERYTIME

A T O M F B C

AIRWAY OBSTRUCTION TENSION PNEUMOTHORAX OPEN PNEUMOTHORAX MASSIVE HAEMOTHORAX FLAIL CHEST BLAST LUNG CARDIAC TAMPONADE

ROLE 1 - <C>ABC, NEEDLE DECOMPRESION, ASHERMAN CHEST SEAL ROLE 2 - <C>ABC, CXR, FAST, NEEDLE DECOMPRESION, ASHERMAN CHEST
SEAL, CHEST TUBE, RSI AND VENTILATION (ROLE 2+)

CIRCULATION

CATASTROPHIC HAEMORRHAGE CONTROL (IMPROVEMENTS) MAINTAIN FLUID THERAPY RESUSCITATION FLUID THERAPY

SHOCK

YES

PULS A. RADIALIS

YES NO

MONITOR VITAL SIGNS

NO

D E

DISABILITY AVPU, GCS, PUPILS

EXPOSURE, ENVIRONMENT, EXTREMITIES