Protocol Reference

Systematic Approach · Click any section to expand

Safe / Stable
Danger / Unstable
Caution / Decision
Action Step
Key Concept
Study progress0 of 6 sections reviewed
  • 🦺Take appropriate PPE precautions — gloves, mask, eye protection as indicated by the situation.
  • 👁️Determine scene / situation safety — scan for hazards before approaching the patient.
  • 💥Determine severity of MOI / NOI — mechanism of injury or nature of illness.
  • 👥Determine number of patients — are there additional casualties?
  • 📞Consider additional help — call for backup early if the situation demands it.
  • 🦴Consider spinal stabilisation — based on MOI findings.
⚡ Decision 1
Is the scene safe?
NO → Do NOT approach. Secure the scene, call for resources, and re-evaluate before proceeding.
✔ If YES
Proceed to patient
Apply PPE, note MOI/NOI, count patients, and consider spinal precautions.

Teaching Point: Scene safety is the only step that can halt the entire protocol. A provider who is injured cannot help anyone. Always look before you approach.

⚡ Decision 2 — Level of Consciousness (AVPU Scale)

A
Alert
Awake & responsive
V
Verbal
Responds to voice only
P
Pain
Responds to pain only
U
Unresponsive
No response at all
⚡ Decision 3
Is the patient Alert?
YES → Assess orientation: Person · Place · Time · Event

NO → Skip orientation. Proceed directly to chief complaint.
📋 Orientation (PPTE)
Only if Alert
Person — Do they know their name?
Place — Do they know where they are?
Time — Do they know the date/day?
Event — Do they know what happened?

Primary Survey — XABCDE

  • 🩸X — Exsanguinating haemorrhage: Check pulse · Identify and control major bleeding immediately.
  • 💨A — Airway: Is it maintained? Is it patent?
  • 🫁B — Breathing: Rate · Quality · Effort · Chest expansion · Lung sounds.
  • ❤️C — Circulation: Pulse (rate, strength, regularity) · Bleeding · Skin (colour, temp, condition).
  • 🧠D — Disability: GCS · Pupils (ERRL) · PMS (Pulse, Motor, Sensation) · Blood glucose.
  • 👕E — Exposure: Rapid head-to-toe assessment.

Teaching Point: Work through XABCDE in order every time. A problem found at any step must be managed before moving to the next — never skip ahead.

⚡ Decision 4 — Option A
🏥 Stay & Play
Patient is stable.

Manage on scene · Conduct full history & vitals · Complete secondary assessment before transport.
⚡ Decision 4 — Option B
🚑 Load & Go
Patient is unstable or time-critical.

Immediate transport · Continue assessment en route · Notify receiving facility early.

Teaching Point: When in doubt, Load & Go. It is always safer to transport early and continue care en route than to delay transport for a deteriorating patient.

📋 SAMPLER
History Framework
S — Signs & Symptoms
A — Allergies
M — Medications
P — Past medical history
L — Last oral intake
E — Events leading up
R — Risk factors
📋 OPQRST
Symptom Analysis
O — Onset
P — Provocation / Palliation
Q — Quality
R — Region / Radiation
S — Severity (0–10 scale)
T — Time

Normal Vital Sign Ranges

Vital SignAbbr.Normal Range
Heart RateHR60 – 100 bpm
Blood Pressure (Systolic)BP90 – 140 mmHg
Respiratory RateRR12 – 20 breaths/min
TemperatureTemp37 °C
Oxygen SaturationSpO₂94 – 99 %
Blood Glucose LevelBGL80 – 120 mg/dL

Teaching Point: A single abnormal vital sign is a finding. A trend of worsening vital signs is an emergency. Always compare values over time, not just in isolation.

Systematic head-to-toe examination — assess each region in order:

Scalp
Forehead
Eyes
Nose & Mouth
Mandible
Ears
Base of Skull
Throat & Neck
Cervical Spine
Chest
Abdomen
Genitalia
Upper Extremities
Lower Extremities
Posterior Back
  • 📟Monitoring devices: Apply ECG monitor and interpret rhythm.

Teaching Point: The secondary assessment is only performed after life threats are addressed. Never let a thorough secondary exam delay treatment of a critical primary finding.

  • 🔁Reassess: Primary Survey · Vital Signs · Interventions
⚡ Decision 5 — Stable
✅ Reassess every 15 minutes
Patient condition is not deteriorating. Maintain monitoring at regular intervals.
⚡ Decision 5 — Unstable
🚨 Reassess every 5 minutes
Patient condition is deteriorating or unpredictable. Increase monitoring frequency immediately.

Teaching Point: Reassessment is not optional — it is a core clinical skill. A patient who was stable can deteriorate rapidly. The 5/15 minute rule ensures no patient is left unmonitored.

Endorse to Receiving Health Care Provider

Provide full verbal handover: patient condition, findings, interventions, and trends.

Educational use only. This tool is a study reference for the Adult Patient Assessment systematic protocol. Always follow your institution's current clinical guidelines in practice.