Often asked: When is the tertiary survey completed for a trauma patient?

What is a tertiary assessment?

The Tertiary Trauma Survey (TTS) is a patient evaluation that identifies and catalogues all injuries after the initial resuscitation and any subsequent emergent operative interventions. It is a comprehensive review of the medical record with emphasis on the mechanism of injury and pertinent co-morbid factors.

What is a trauma survey?

Introduction. The primary survey is designed to assess and treat any life-threatening injuries quickly. It should be completed very rapidly. The main causes of death in a trauma patient are airway obstruction, respiratory failure, massive hemorrhage, and brain injuries.

What is secondary survey in trauma?

The secondary survey is a rapid but thorough head to toe examination assessment to identify potential injuries. It should be performed after the primary survey and the initial stabilization is complete.

How do you assess a trauma patient?

The trauma assessment begins prior to the patient’s arrival with information gathering, the formation of the trauma team, and equipment preparation. On patient arrival, the team begins with the primary survey, which includes an assessment of the patient’s airway, breathing, circulation, disability, and exposure.

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What is the difference between primary and secondary assessment?

The secondary assessment is used after a primary assessment has been done. This is where the clinician goes through step by step head-to-toe to figure out what happened. This can include but is not limited to inspection, bony and soft tissue palpation, special tests, circulation, and neurological.

What is primary and secondary survey?

The primary and secondary survey represent overarching and sequential aspects of patient assessment. While primarily applied in trauma scenarios, the components of the assessment may be applied to most patients. This process will provide a comprehensive clinical picture of the patient. Indications.

What four things will you look for during a secondary survey?

Secondary survey

  • Mental state.
  • Airway, respiratory rate, oxygen saturation.
  • Heart rate, blood pressure, capillary refill time.


The ABCs of trauma assessment-airway, breathing/oxygenation and circulation-represent the first steps in determining the extent of injury and patient care priorities; however, other factors must also be considered to provide effective and timely care.

What are the 5 elements of a primary survey?

Primary survey:

  • Check for Danger.
  • Check for a Response.
  • Open Airway.
  • Check Breathing.
  • Check Circulation.
  • Treat the steps as needed.

How long should a secondary survey take?

The focused history and physical exam includes examination that focuses on specific injury or medical complaints, or it may be a rapid examination of the entire body as follows, which should take no more than 3 minutes. The secondary survey is a systematic approach to identify any bleeding or fractures.

What are the two main components of a secondary survey?

Secondary Survey

  • History. Taking an adequate history from the patient, bystanders or emergency personnel of the events surrounding the injury can assist with understanding the extent of the injury and any possible other injuries.
  • Head-to-toe examination.
  • Head and face.
  • Neck.
  • Chest.
  • Abdomen.
  • Limbs.
  • Back.
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What are 5 main components of secondary patient assessment?

The secondary assessment should be methodical and involve inspection, palpation, auscultation, and percussion.

What are the three types of trauma?

What is trauma?

  • Acute trauma: This results from a single stressful or dangerous event.
  • Chronic trauma: This results from repeated and prolonged exposure to highly stressful events. Examples include cases of child abuse, bullying, or domestic violence.
  • Complex trauma: This results from exposure to multiple traumatic events.

What are the five steps of patient assessment?

A complete patient assessment consists of five steps: perform a scene size-up, perform a primary assessment, obtain a patient’s medical history, perform a secondary assessment, and provide reassessment.

What is primary survey in trauma?

The primary survey is the initial assessment and management of a trauma patient. It is conducted to detect and treat actual or imminent life threats and prevent complications from these injuries. A systematic approach using ABCDE is used.

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