Follow the basic ABCD in Primary assessment:
1. A : Airway:
- Look for chest movement
- Listen for additional sounds (wheeze, stridor, etc)
- Feel for breath
2. B; Breathing:
- Effort (e.g rate and use of accessory muscles)
- Efficiency (e.g oxygen saturation)
- Effect ( e.g heart rate, skin color, conscious level).
3, C; Circulation:
- Heart rate
- Pulse volume
- Capillary refill time
- Blood pressure
4. D: Disability:
Where immediately life threatening problems are identified then resuscitation should be performed during the primary survey before proceeding to secondary assessment.
Secondary Assessment:
This comprises taking a focused history and instituting emergency treatment While developing a differential diagnosis. It requires a full physical examination from head to toe. It there is any clinical deterioration during this procedure , then the primary assessment should be repeated.
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