34yo man was brought to the ED after a RTA. BP=50/0mmHg and chest wall not moving
symmetrically, RR=34bpm. What would be initial action?
a. IV fluid infusion
b. Intubation and ventilation
c. CT chest
d. Transfer to ITU
answer: B , breathing is the priority, oxygen must be given
• Airway maintenance with cervical spine (C-spine) control
• Breathing and ventilation
• Circulation (pulses, hemorrhage control)
• Disability (neurological status)
• Exposure (complete) and Environment (temperature control)
• continually reassessed during secondary survey
• IMPORTANT: always watch for signs of shock while doing primary survey
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