Primary survey
The Primary survey (see Table 1) is concernedwith identifying life-threatening circumstances that require immediate attention (Nettina, 2006). The pneumonic A: Airway, B: Breathing, C: Circulation, D: Disability and E: Exposure is utilised. The assessment is essentially unchanged regard-less of whether or not the patient is mechanically ventilated. Particular attention should be given to ensuring the artificial airway is secure to prevent dislodgement, and to checking the insertion length of the airway for correct placement. As a caution, the availability of additional numerical data from the mechanical ventilator and monitoring devices should not substitute for physical assessment of the patient. Used in conjunction with physical assessment, the numerics provide rapid and valuable information, however their validity should be veri-fied by direct patient observation to avoid inaccurate assessment.
Primary surveyThe Primary survey (see Table 1) is concernedwith identifying life-threatening circumstances that require immediate attention (Nettina, 2006). The pneumonic A: Airway, B: Breathing, C: Circulation, D: Disability and E: Exposure is utilised. The assessment is essentially unchanged regard-less of whether or not the patient is mechanically ventilated. Particular attention should be given to ensuring the artificial airway is secure to prevent dislodgement, and to checking the insertion length of the airway for correct placement. As a caution, the availability of additional numerical data from the mechanical ventilator and monitoring devices should not substitute for physical assessment of the patient. Used in conjunction with physical assessment, the numerics provide rapid and valuable information, however their validity should be veri-fied by direct patient observation to avoid inaccurate assessment.
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