pRRAPID

E

Exposure

INTRODUCTION

Cardiovascular shock and Obstructive shock

After the initial assessment of the A B C and D it is time to expose the child for a more comprehensive examination. "Exposure" is not included as part of the "primary survey", however the general examination of the seriously ill child will guide towards specific emergency treatments and is also included in the "secondary survey".

A

Recognition

  • Expose the patient (maintain dignity and minimise heat loss) to assess for injuries, signs of infection, bleeding etc.
  • Check temperature & review physiological markers
  • Full history and examination (where time and clinical condition allows)
  • Drug  & fluid chart review
  • Investigation results

Response

  • Senior/expert medical advice
  • Management plan
  • Documentation
  • Communication (SBARR)
  • Organise transfer to High Dependency Unit (HDU)/Intensive Care Unit (ICU) if appropriate

Table: Exposure Recognition and Response