Trauma Assessment Abcde

Airway and Cervical Spine Protection

Check...

  • Can patient speak/cry? Airway is fine then
  • Look for obstruction - anything in the airway?
  • Are they making choking or strange breathing sounds?

Fix...

  • Remove visible objects from the mouth
  • If they are chocking, using Heimlich Maneuver
  • If not breathing, start CPR

Breathing

Check...

  • Look: Is the chest moving up and down?
  • Listen: Can you hear breathing?
  • Feel: Can you feel air from their mouth or nose?
  • Is breathing very fast, very slow, or very hard?

If not breathing, start CPR

Circulation - Is blood moving in the body? Is there bleeding?

  • Is there heavy bleeding?
    • Apply pressure / Use Tourniquet in upper arm / upper leg
  • Is the skin very pale, cold, or sweaty?
  • Are they feeling weak or faint?
    • Lay the person flat
    • Keep them warm

Disability - is the brain working

  • Are they awake?
    • If unconscious but breathing, place in recovery position
    • Monitor breathing
    • Do NOT give food or drink
  • Can they respond if you talk to them?
  • Can they respond if you shake or pinch them?
  • Are they confused or acting strangely

Exposure - Whole body check

  • Any hidden injuries?
  • Burns? Swelling? Broken bones?
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