I Agree
Terms Of Use
Back
RESUSCITATION
Back
Continue
The first stage in treatment of any patient is resuscitation. This is easily remembered by the initials
Resuscitation takes precedence over all else.
If the injured person is unconscious, the NeckSafe principles can still be practiced with special attention to managing the Airway with Cervical Spine Control.
Want to know more?
Back
DRSA+BC
Danger
Response
Send 4 Help
D
R
S
Airway PLUS C-Spine Control
A
Breathing
B
Circulation
C
Want to know more?
Circulation
The letter C is in Circulation reminds the first-responder that cardiac massage may be necessary if the injured person is in cardiac arrest.
Back
Want to know more?
Breathing
B for Breathing refers to the necessity of performing expired air respiration or Bag Valve Mask resuscitation if the person is not breathing.
Back
Want to know more?
Back
Airway PLUS C-Spine Control
Want to know more?
Send 4 Help
S reminds us to Send for help early in this process, usually calling an ambulance or other people to offer assistance in anticipation that person may need to be treated before they are transported to hospital.
Back
Want to know more?
Response
The letter R refers to Response, which is to say eliciting a response from the injured person (usually to determine whether they are conscious or unconscious and if they can tell as anything about the events leading up to the first responder finding them in need of assistance).
Back
Want to know more?
Danger
The letter D reminds us to look for Danger that might compromise not only the injured person but the first responders as well. At no time should those people attending to any injured person put themselves at risk, and if it is not safe to approach an injured person then you should not do so.
Back
Want to know more?
What type of trauma?
Blunt
Penetrating
Back
?
?
Want to know more?
Penetrating Trauma
Back
Want to know more?
Blunt Trauma
Back
Want to know more?
Neurologic deficit/complaint?
Yes
No
Back
?
Want to know more?
Neurological Deficit/Complaint
Decreased sensation or movement,
"pins and needles",
weakness
Back
Want to know more?
Back
Immobilization not indicated
Transport
USE CLINICAL JUDGMENT:
IF IN DOUBT
>>>>>>>>IMMOBILIZE
Want to know more?
TRANSPORT
Back
Want to know more?
IMMOBILIZE
Back
Want to know more?
Is a Head Bed device available, serviceable and are you trained in its use?
Yes
No
Back
Want to know more?
Back
Want to know more?
Headbed
Back
Want to know more?
Head in Neutral Position
Back
Want to know more?
Back
Manual Inline Support
Want to know more?
• Neck in neutral position
• Hands alongside face on both sides
• Firm hold
• DO NOT APPLY TRACTION
Is a C-Collar available, serviceable and are you trained in its use?
Yes
No
Back
Want to know more?
Back
Want to know more?
C-Collar
Back
Want to know more?
Is a spineboard, scoop stretcher, split stretcher or vacuum mattress available, serviceable and are you trained in its use?
Yes
No
Back
Want to know more?
Back
If there is no danger to yourself or the injured person, maintain Manual Inline Support with the C-Collar in place and wait for help to arrive
Want to know more?
Spineboard
Back
Want to know more?
RAPID TRANSPORT
Back
Want to know more?
Altered level of consciousness?
(GCS < 15)
Yes
No
Back
?
Want to know more?
Glasgow Coma Score
Altered Level of Consciousness
( GCS < 15)
Back
Next
Glasgow Coma Score Table
Back
Yes
No
Back
Want to know more?
Spinal Pain
Pain experienced along
the spine, or tenderness when touched.
Back
Want to know more?
Concerning Mechanism of Injury?
Yes
No
Back
?
Want to know more?
Concerning Mechanism of Injury
Back
Want to know more?
Yes
No
Back
Distracting injury?
Inability to communicate?
Presence of/Evidence of Alcohol/Drugs?
Want to know more?
Evidence of Alcohol or Drugs
Intoxication or suspicion of alcohol/drug use
Back
Want to know more?
Inability to Communicate
Back
• Speech or hearing impaired
• Foreign language
• Small children
Want to know more?
Distracting Injury
Back
• Long bone fracture
• Large laceration, degloving, crush
• Large burns
• Visceral injury requiring surgery
Want to know more?
IMMOBILIZE
Back
Want to know more?