ABSTRACT
The aim of Primary Survey is the diagnosis and initial treatment of life threatening problems. The time required to resuscitate a trauma patient correlates well with the long term outcome of these patients. The neurological assessment in the Primary Survey is more basic than the GCS, the key aspects being whether the patient is Alert, responds to Verbal or Painful stimuli or is Unresponsive (AVPU). The log rolling of the patient is part of the secondary survey which is a head to toe examination of the injured patient. In the hierarchy of airway management if an experienced practitioner is unable to intubate the patient a surgical airway is required. The pulse in a fit young patient may remain unaltered until considerable blood loss occurs.
