Notes

rapid trauma assessment
[face]
- start with scalp and ears (check for bleeding in scalp, CSF or battlescars that indicated skull injury)
- eyes (PERL, check for racoon eyes that indicate heavy trauma)
- nose, mouth, facial areas (obstructions)

[neck]
- check position of trachea for deviation (indicates chest cavit pressure or tension pneumothorax)
- check for jugular vein distention (indicates cardiac tamponage)
- palpate cervical spine (vertebrae) for step off
- Cspine if needed

[chest]
- inspect and palapte chest (check barrel hoop by having them take a deep breath)
- check sternum with chop
- look for paradoxial motion (if 2 or more ribs broken on 2 or more sides is flail chest, splint it)
- listen to chest sounds

[abs]
- palpate abdominal (check for rigidity that indicates internal bleeding or distention that indicates burst hollow organ)
- check pelvis (push down and in)
- signs of spinal injury: loss of feeling below level of injury or in upper/lower extremities, incontinence (involuntary defecation), posturing
- verbalize assessment of genetalia/peripheneal (never ending erection in males or female hemorrage)

[lower and upper extremities]
- inspect and palpate for CirculationMotorSensory
- if no pulse in extremity, check central pulse

[posterior thorax, lumbar, and buttocks]
- to assess, log roll patient
- never roll patient on injured side
- inspect and palpate thorax, lumbar, buttocks (look for step off in thorax, rectal bleeding, exit wounds for all punctures)
- to treat exit wounds, tape it off with bandage on all 4 sides to keep occlusive valve working in front
- insert backboard

notes:
- we are checking everywhere for dcapbtls as well as indicated
- if crepidness (feeling of broken bound) is found, note it since that is secondary