Advanced Trauma Life Support ATLS Student Course Manual 2018

Skill Station F
SECONDARY SURVEY
LEARNING OBJECTIVES
1. Assess a simulated multiply injured patient by using
the correct sequence of priorities and management
techniques for the secondary survey assessment of
the patient.
2. Reevaluate a patient who is not responding
appropriately to resuscitation and management.
3. Demonstrate fracture reduction in a simulated
trauma patient scenario.
4. Demonstrate splinting a fracture in a simulated
trauma patient scenario.
5. Evaluate a simulated trauma patient for evidence of
compartment syndrome.
6. Recognize the patient who will require transfer to
definitive care.
7. Apply a cervical collar.
••
Perform a Secondary Survey in a Simulated
Trauma Patient
••
Reduce and Splint a Fracture in a Simulated
Trauma Patient
••
Apply a Cervical Collar in a Simulated Trauma
Patient
••
Evaluate for the Presence of Compartment
Syndrome
STEP 1.
Skills Included in this
Skill Station
Perform Secondary
Survey in a Simulated
tRAuma Patient
Obtain AMPLE history from patient, family,
or prehospital personnel.
••
A—allergies
••
M—medications
••
P—past history, illnesses, and pregnancies
••
L—last meal
••
E—environment and exposure
STEP 2. Obtain history of injury-producing event
and identify injury mechanisms.
HEAD AND MAXILLOFACIAL
STEP 3. Assess the head and maxillofacial area.
A. Inspect and palpate entire head and face
for lacerations, contusions, fractures, and
thermal injury.
B. Reevaluate pupils.
C. Reevaluate level of consciousness and
Glasgow Coma Scale (GCS) score.
D. Assess eyes for hemorrhage, penetrating
injury, visual acuity, dislocation of lens, and
presence of contact lenses.
E. Evaluate cranial nerve function.
F. Inspect ears and nose for cerebrospinal
fluid leakage.
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