International Examination and Synthesis of the Primary and Secondary Surveys in Paramedicine

Marc A Colbeck, Sonja Maria, Georgette Eaton, Craig B Campbell, Alan M Batt, Matthew R Caffey

DOI: http://dx.doi.org/10.32378/ijp.v3i2.91

Abstract

Background

To guide their care paramedics routinely rely upon two assessment and treatment algorithms, known as the primary survey and the secondary survey.  No clear consensus of the concepts (assessments and interventions) that are, or should be, included in these algorithms exist internationally. 

Methods

This paper evaluated Australasian paramedic clinical practice guidelines (CPGs), as well as six other international paramedic CPGs (USA, Ireland, UK, South Africa, Qatar, and the United Arab Emirates) in order to identify which concepts are currently described in best-practice recommendations for paramedics.  The authors also contributed concepts that they felt were important additions based on their experience as veteran paramedics and paramedic educators.

Results

The resulting amalgamation of concepts identified in each term was then formed into two mnemonics which, together sequentially list approximately 100 specific clinical concepts that paramedics routinely consider in their care of patients. We describe these as the “International Paramedic Primary and Secondary Surveys”.

Conclusion

The primary and secondary surveys presented in this paper represent an evidence-based guide to the best practice in conducting a primary and secondary survey in the paramedic context.  Findings will be of use to paramedics, paramedic students, and other clinicians working in remote or isolated practices.


Keywords

Paramedic; Australasia; Primary Survey; Secondary Survey; Clinical Practice Guideline

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DOI: http://dx.doi.org/10.32378/ijp.v3i2.91

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Copyright (c) 2018 Marc Colbeck, Sonja Maria, Georgette Eaton, Craig Brendan Campbell, Alan M Batt, Matthew R Caffey, Matt Hunter

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