One of the most popular areas on our website has been people checking for trauma assessment guidelines, so here is an updated version.

Please note that this is written for a very specific audience and is not necessarily the right guidelines for all. Please contact us [on info@lazarustraining.co.uk] if you have any questions or doubts.

Trauma Assessment guide 2020

  • Safety & Scene Management
    • Note time of arrival- let control know
    • Check for safety- 1,2,3
      • You [Gloves, glasses etc]
      • Environment [cars, crowds etc]
      • Patient [are they a threat- do a frisk or take a risk]
    • Read the scene- ask what happened
    • Consider the mechanism of injury
  • CABCDE
    • If required stabilize head and neck
      • Knees if possible
      • One-hand
      • Equipment
    • Four points of spine alignment
      • Nose
      • Sternum
      • Nice bits
      • Eyes looking forward
    • Call for backup
    • Talk to patient[s] to establish the level of consciousness
      • Alert
      • Verbal
      • Pain
      • Unresponsive
  • Catastrophic bleeding
    • Tourniquet- compressible
    • Pack wound- junctional bleed
  • Airway
    • Is the airway noisy or silent- noisy is a partial obstruction
    • Is the patient silent?
      • Complete obstruction
      • Normal breathing?
      • Stopped breathing?
        • Pocket mask/BVM/iGel
    • Is there an obstruction?
      • Bubbling=Fluid- turn then suction
      • Snoring= Tongue- airway positioning
    • Assess soft tissues of upper airway
      • Lips
      • Tongue
      • Nose- [milk it for signs of bleeding]
      • Larynx
    • Assess the hard tissues of the airway
      • Jaw
      • Cheekbones [maxilla]
      • Teeth & dental work
    • Open mouth to look for bad stuff
    • Clear the airway
    • Create an airway
      • Jaw thrust*
      • Head tilt. Chin lift
      • Chin lift
    • Consider airway adjuncts
      • NP [6 female 7 male]
      • OP- โ€œhands and plasticโ€
  • Breathing
    • Expose to the waistline- RVP FLASH
    • R- Count the rate [goalposts 10-30]
    • V- Assess volume and effort of breathing
      • P- PUT OXYGEN ON
    • FLASH
      • Feel the chest [fractures]
      • Look at the chest
        • Holes
        • Bruising [internal chest problem]
      • Armpits [hidden injuries]
      • Search the back, sides and shoulders- check clavicle
      • Holes- seal them- vented one per side,
  • Circulation
    • Blood on the floor plus four more
      • Chest
      • Abdomen
      • Pelvis
      • Femurs
    • Blood sweep
    • Stop all external bleeding
      • Tourniquet
      • Pressure
        • Direct
          • Clotting agent
        • Indirect
      • Elevation
      • Windlass dressing
    • Splint pelvis if unstable or suspected fracture
      • DO NOT ROCK or SPRING
    • Look for internal bleeding
    • Pulse- check the radial pulse in both arms
      • Is the rate good [less than 120 bpm]
      • Is the volume good
    • Shock- Skin colour- [pale and clammy]
    • Recheck pulse- if no radial pulse raise legs to 45 degrees unless suspected fracture of pelvis or femur
  • Disability
    • Assess LOC- repeat and record- trend over time
      • Alert
      • Voice
      • Pain
      • Unresponsive
  • Exposure & Evacuation
    • Protect from elements
    • Prepare evacuation
    • Reassess and record
      • Most important assessment is a reassessment
      • If it’s not written down it didnโ€™t happen
    • Hand over using AT MIST format- [you have 30 seconds]
      • Age
      • Time of incident
      • Mechanism of Injury
      • Injuries found/suspected
      • Signs and Symptoms
      • Treatment given
    • Document incident
    • Restock

By admin