Secondary Assessment

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Secondary Assessment by Mind Map: Secondary Assessment

1. History Assessment

1.1. Symptoms

1.1.1. How do you feel?

1.2. Any Allergies?

1.3. Medication

1.3.1. Do you have any medication?

1.3.2. Have you taken any medication?

1.3.3. Should you be taking any medication?

1.4. Past history

1.4.1. Has this happened before, and under what circumstances?

1.5. Last meal or fluids ingested

1.5.1. What did you last eat or drink and when?

1.6. Events prior/proceeding

1.6.1. What were you doing before?

2. Vital Signs Assessment

2.1. Level of Consciousness

2.1.1. Conscious victims

2.1.1.1. LOC Conscious and alert if

2.1.1.1.1. Victim answers questions coherently, is oriented to time, place and person

2.1.1.1.2. Eyes are open

2.1.1.1.3. Obeys commands

2.1.1.2. LOC Conscious and confused if

2.1.1.2.1. Victim has trouble answering

2.1.1.2.2. Eyes open to speech or pain

2.1.1.2.3. Moves to pain

2.1.2. Unconscious victims

2.1.2.1. LOC unconscious and reacts

2.1.2.1.1. To either voice or pain

2.1.2.1.2. Opens eyes

2.1.2.2. LOC unconscious and does not react

2.2. Breathing

2.2.1. Rate

2.2.1.1. Number of breaths per minute

2.2.1.1.1. Is the victim an adult, child or infant?

2.2.2. Rhythm

2.2.2.1. Fast or Slow?

2.2.2.2. Regular or Irregular?

2.2.3. Depth

2.2.3.1. Deep or Shallow breaths?

2.2.4. Sounds

2.2.4.1. Any wheezing, rasping, gurgling, any signs of pain?

2.3. Pulse (Arm or Neck pulse check)

2.3.1. Rate

2.3.1.1. Number of beats per minute

2.3.1.1.1. Is the victim an adult, child, or infant?

2.3.2. Rhythm

2.3.2.1. Regular or Irregular?

2.3.3. Strength or quality

2.3.3.1. Strong and full heartbeats, or weak and thin heartbeats?

2.4. Skin Condition

2.4.1. Temperature

2.4.1.1. Normal, warm-hot or cool-cold?

2.4.2. Moisture

2.4.2.1. Wet-clammy, profuse sweating, dry, or normal?

2.4.3. Colour

2.4.3.1. Pale or ashen (white-grey), red-flushed, or normal?

2.5. Pupils

2.5.1. Size

2.5.1.1. Large or small pupils?

2.5.2. Equal

2.5.2.1. Are the pupils the same size?

2.5.3. Reactive

2.5.3.1. Expose light to pupils and check if pupils get smaller (they should)

3. Head-to-toe Assessment

3.1. With responsive victims, ask permission to touch the body

3.1.1. If granted, constantly reassure and talk to the victim

3.1.1.1. Conduct assessment

3.1.1.1.1. Start with head, slide hands across body surfaces with enough pressure to feel below the surface

3.1.1.1.2. Use all other sense too - touch, sight, hearing and smell

3.1.1.1.3. Clearly indicate what you are going to do before you do it (I'm going to press down on your stomach and make sure everything's okay)

3.1.1.1.4. If you have to remove clothing to expose a suspected injury, be sure to cover the area again as soon as you are finished checking

3.1.1.1.5. Check for bumps, bruises, bleeding or other fluids, deformities, ability to move and temperature differences

3.1.2. If not granted, use a systematic question and answer technique, and ask about all the areas of the body

3.2. With unresponsive victims, conduct assessment