They’re breathing and have a pulse, now what do I do? Secondary Assessment They’re breathing and have a pulse, now what do I do?
Secondary Assessment After the initial assessment, conduct a secondary assessment Do a head-to-toe exam for a conscious adult and a toe-to-head exam for an infant/child
DVD Segment: Secondary Assessment
Use SAMPLE as an easy way to remember the questions for secondary exam S – Signs and symptoms A – Allergies M – Medications P – Pertinent past medical history L – Last oral intake E – Events leading up to the incident
Sudden Illness Victims of sudden illness generally look and feel ill Check victim and look for medical ID bracelet Do not be afraid to ask questions Condition can worsen if nothing is done
Sudden Illness Diabetic emergency Seizure in the water Stroke Fainting Poisoning Insect stings Snake and spider bites
DVD Segment: Sudden Illness
Wounds Injury to soft tissue is called a wound Internal bleeding: skin’s surface is not broken and there is damage below the surface External bleeding: break in the skin’s surface
DVD Segment: Wounds
Shock Any serious injury/illness can cause shock Shock is a natural reaction by the body and means the condition is serious
Shock Signs and symptoms… Altered levels of consciousness Restlessness/irritability Altered levels of consciousness Pale/ashen Cool/moist skin Excessive thirst Nausea
Shock How to care for shock… Call 911 Monitor ABC’s Control bleeding Raise legs 12 inches Keep comfortable Reassure
Heat-Related Emergencies Heat Cramps: muscle spasms that occur in the legs and abdomen Heat Exhaustion: early indicator that body’s cooling system is shutting down - Headache/nausea/dizzy - Heavy sweating Heat stroke: Body’s system is overwhelmed - Red/hot/dry skin - Vomiting - Changes in consciousness
Cold-Related Emergencies Frostbite: Freezing of body parts exposed to the cold Hypothermia: Entire body is cooled
Cold-Related Emergencies Frostbite… Loss of feeling in affected area Skin may appear waxy, cold or discolored Does NOT have to be extermely cold for someone to suffer a cold-related emergenciy, especially if they are wet or if it is windy
DVD Segment: Heat-Related Emergencies
DVD Segment: Cold-Related Emergencies