Trauma Service : Primary And Secondary Survey

Trauma Service: Primary And Secondary Survey

Write a short note on Surveyor.

Answer.

“Factors influencing success with trauma service knowledge: Q&A”

Surveyor is the one of the members of the trauma team.

Surveyors are of two types, i.e. primary surveyor and secondary surveyor.

Primary Surveyor (Surgical resident)

• Performs the primary survey, relaying all pertinent findings to the team.
• May perform the secondary survey, relaying all pertinent findings to the team.
• Performs or assists in the performance of any life-saving procedures at the direction of the team leader

“Understanding primary and secondary surveys in trauma care through FAQs: Key steps explained”

Primary Survey Techniques in Trauma Care

Secondary Surveyor (Surgical resident or intern)

• Assists with the “exposure” aspect of the primary survey and applies warm blankets.
• May perform the secondary survey, relaying all pertinent findings to the team
• Performs or assists in the performance of any life-saving procedures at the direction of the team leader

“Importance of studying trauma service protocols for healthcare professionals: Questions explained”

Secondary Survey Protocols for Trauma Patients

Surveying In Maxillofacial injuries

Primary Survey

• Identify the airway compromise from fracture or hemorrhage.
• Bilateral anterior fractures of the mandible have the risk of falling back of the tongue.
• Orotracheal intubation should be needed.
• With the help of mouth props and epistaxis balloons hemorrhage should be controlled.
• Anterior and posterior nasal packing can be needed.

“Common challenges in conducting primary and secondary surveys effectively: FAQs provided”

Trauma Primary Survey Checklist

Secondary Survey

• Orbital rim, zygomatic arches, and mandible should be palpated to identify fractures.
• Eyes should be examined: Restricted eye movement is suggestive of an orbital fracture.
• Subconjunctival hemorrhage can be suggestive of a fracture of the skull.
• Proptosis and ophthalmoplegia can be suggestive of retrobulbar hemorrhage.
• Sensation should be assessed in the maxillary branch of the trigeminal nerve.
• Check intracanthal distance which should be 30–35mm. If the distance is more than the mentioned range, it is suggestive of nasoethmoid fracture.
• The intraoral examination is necessary. Assess the occlusion and intraoral hematomas.