1. PRIMARY
SURVEY
OBJECTIVES:
1-IDENTIFY LIFE THREATENING CONDITION
DURING THE PRIMARY ASSESSMENT.
2-IDENTIFY THE INTERVENTION TO
MANAGE LIFE THREATENING CONDITION
RECOGNIZED DURING THE INITIAL
ASSESSMENT .

2. A= AIRWAY WITH CERVICAL
SPINE STABILIZATION OR
IMMOBILIZATION.
ASSESSMENT INTERVENTIONS
While maintaining 1-Position the patient
spinal stabilization. 2-Jaw thrust or head tilt
1-Vocalisation chin lift
3-Suction or remove
2-Tongue obstruction foreign objects
3-Loose teeth or 4-Oro/Nasopharyngeal
foreign objects airway
4-Bleeding 5-Cervical spine
stabilization.
5-Vomitus or 6-Endotracheal intubation.
secretions
7-Needle or surgical
6-Oedema cricothryotomy.

3. B=BREATHING
ASSESSMENT INTERVENTIONS
1-Spontaneous breathing
1-Supplemental
2-Chest rise and fall
oxygen
3-skin color
4-General rate and depth 2-Bag –mask-valve
of respirations ventilation
5-Soft tissue and bony
chest wall integrity 3-Needle
6-Use of accessory and/or thoracentesis
abdominal muscles
7-Bilateral breath sounds
4-Chest tube
8-Jugular veins and
position of trachea.

4. C=CIRCULATION
ASSESSMENT INTERVENTION
1-Pulse general rate 1-Direct pressure over
uncontrolled bleeding sites
and quality
2-Two large intravenous
2-Skin color catheters with HRL or
, temperature normal saline
, degree of 3-Infuse fluid rapidly with
blood tubing
diaphoresis
4-Blood sample for tubing
3-External bleeding CPR and advanced life
support measures if
needed.
5-Blood administration
6-Surgery

5. D=DISABILITY
ASSESSMENT INTERVENTION
1-Level of 1-Perform further
Consciousness
investigation
2-A=Alert and
orientated to time and 2-Hyperventilation if
place indicated
3-V=Only responding
to voice
4-P=Only responding
to pain
5-U=Unresponsive
6-Puplis(PERL)