Airway | A.1 Protection of cervical spine (either manual stabilization or application of cervical collar) | Observer did not observe cervical protection. |
A.2 Deliver oxygen if respiratory rate or oximetry were abnormal | No use of oxygen when the patient had abnormal RR. |
Breathing | B.1 Measurement of respiratory rate | No RR was verbalized during initial assessment or written in medical record. |
B.2 Immediate treatment for open pneumothorax, tension pneumothorax, massive hemothorax or flail chest | No chest tube insertion in a patient with a written diagnosis of open pneumothorax, tension pneumothorax, massive hemothorax. No offer of oxygen in a patient with a written diagnosis of flail chest. |
Circulation | C.1 Measurement of heart rate | No HR verbalized by the provider, or displayed or written in medical record. |
C.2 Initiation of intravenous fluids if tachycardia, hypotension or abnormal capillary refill | Fluids were not initiated in a patient with abnormal vital signs (HR, BP, ACR). |
Disability | D.1 Evaluation of GCS | No GCS verbalized or written in medical record. |
Exposure | E.1 Examination of patient’s back | No examination of patient’s back. |
E.2 Protection against hypothermia | Provider did not cover patient with his/her clothes after assessment. |
Other | O.1 Measurement of weight or use of Broselow tape | No weight verbalized or written in medical record; no use of Broselow tape. |