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Secondary Assessment. They’re breathing and have a pulse, now what do I do?. Secondary Assessment. After the initial assessment, conduct a secondary assessment Do a head-to-toe exam for a conscious adult and a toe-to-head exam for an infant/child. DVD Segment: Secondary Assessment.
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Secondary Assessment They’re breathing and have a pulse, now what do I do?
Secondary Assessment • After the initial assessment, conduct a secondary assessment • Do a head-to-toe exam for a conscious adult and a toe-to-head exam for an infant/child
Use SAMPLE as an easy way to remember the questions for secondary exam • S – Signs and symptoms • A – Allergies • M – Medications • P – Pertinent past medical history • L – Last oral intake • E – Events leading up to the incident
Sudden Illness • Victims of sudden illness generally look and feel ill • Check victim and look for medical ID bracelet • Do not be afraid to ask questions • Condition can worsen if nothing is done
Sudden Illness • Diabetic emergency • Seizure in the water • Stroke • Fainting • Poisoning • Insect stings • Snake and spider bites
Wounds • Injury to soft tissue is called a wound • Internal bleeding: skin’s surface is not broken and there is damage below the surface • External bleeding: break in the skin’s surface
Shock • Any serious injury/illness can cause shock • Shock is a natural reaction by the body and means the condition is serious
Shock • Signs and symptoms… • Restlessness/irritability • Altered levels of consciousness • Pale/ashen • Cool/moist skin • Excessive thirst • Nausea
Shock • How to care for shock… • Call 911 • Monitor ABC’s • Control bleeding • Raise legs 12 inches • Keep comfortable • Reassure
Heat-Related Emergencies • Heat Cramps: muscle spasms that occur in the legs and abdomen • Heat Exhaustion: early indicator that body’s cooling system is shutting down - Headache/nausea/dizzy - Heavy sweating • Heat stroke: Body’s system is overwhelmed - Red/hot/dry skin - Vomiting - Changes in consciousness
Cold-Related Emergencies • Frostbite: Freezing of body parts exposed to the cold • Hypothermia: Entire body is cooled
Cold-Related Emergencies • Frostbite… • Loss of feeling in affected area • Skin may appear waxy, cold or discolored • Does NOT have to be extermely cold for someone to suffer a cold-related emergenciy, especially if they are wet or if it is windy