Secondary Survey
Head...
- Skull
- Ears (blood or CSF)
- Eyes for pupil size and reaction (PEARL)
- Lips for colour (cyanosis)
- Jaw for displacement
- Mouth/teeth
- Skin colour/texture/temperature
Thorax...
Abdomen...
- Rigidity and guarding
- Pulsating masses
- Bruising
- Pelvis
- Groin (dampness)
Limbs...
- Irregularity, deformity and fractures (compare limbs with each other)
- Flexion and extension without aggravating any injury
- Signs of drug abuse (Needle marks)
- Identity bracelets
- Capillary refill and distal pulses
Back...
- Scapulae for fractures
- Spine for irregularities
History...
- Allergies
- Medication
- Previous medical history
- Last meal
- Event - what happened?
- Documents/body markings