In multisystem trauma, which step follows the primary survey and C-spine assessment during transport?

In multisystem trauma, which step follows the primary survey and C-spine assessment during transport?

• A. Secondary survey
• B. Rest of care in route
• C. Tertiary survey
• D. Recheck of airway

Answer: (A)

After the initial life threats are addressed in the primary survey and the C-spine is secured, the next step is the secondary survey. This is a thorough head-to-toe assessment that looks for injuries not immediately life-threatening but still critical to identify and manage. It includes repeating vital signs, a detailed examination of all body regions, and obtaining a focused history (such as what happened, medications, allergies, past medical history, and last meal). The goal is to uncover hidden injuries, guide ongoing care during transport, and plan definitive treatment at the receiving facility. Rechecking airway is an ongoing part of care but not a distinct next phase after the primary survey; airway assessment and management continue as needed. The tertiary survey refers to a later re-evaluation in the hospital to catch injuries missed earlier, not the immediate next step.

After the initial life threats are addressed in the primary survey and the C-spine is secured, the next step is the secondary survey. This is a thorough head-to-toe assessment that looks for injuries not immediately life-threatening but still critical to identify and manage. It includes repeating vital signs, a detailed examination of all body regions, and obtaining a focused history (such as what happened, medications, allergies, past medical history, and last meal). The goal is to uncover hidden injuries, guide ongoing care during transport, and plan definitive treatment at the receiving facility.

Rechecking airway is an ongoing part of care but not a distinct next phase after the primary survey; airway assessment and management continue as needed. The tertiary survey refers to a later re-evaluation in the hospital to catch injuries missed earlier, not the immediate next step.