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Primary Survey Disability Evaluation
Aka: Primary Survey Disability Evaluation, Emergency Disability Management, Emergency Neurologic Exam, Trauma Neurologic Exam
- See Also
- Glasgow Coma Scale
- Closed Head Injury
- Evaluation: Neurologic status (Primary Survey)
- Glasgow Coma Scale (E-V-M system 3-15 points)
- Level of Consciousness: (AVPU system)
- Alert
- Vocal Stimuli
- Painful stimuli
- Unresponsive
- Pupil response
- Evaluation: Secondary Survey Trauma Neurologic Evaluation (more complete)
- Repeat Glasgow Coma Scale
- Compare to Primary Survey score
- Serial evaluations should include at least 2 GCS scores: On ED presentation and on disposition
- Sensory Exam
- Reflex Exam
- Motor Exam
- Rectal Sphincter Tone
- Pitfalls: Trauma
- Closed Head Injury
- Decreased Oxygenation
- Shock
- Alcohol intoxication
- Drug intoxication
- Differential Diagnosis
- Altered Level of Consciousness
- See Trauma pitfalls above
- See Altered Level of Consciousness
- Delerium
- Cerebrovascular Accident
- Unconscious trauma patient
- Bilateral cerebral cortex injury
- Brain Stem injury