Secondary survey in paediatric trauma

Arch Dis Child Educ Pract Ed. 2023 Aug;108(4):253-258. doi: 10.1136/archdischild-2022-324983. Epub 2023 Mar 2.

Abstract

The purpose of a secondary survey is to identify the non-life-threatening injuries that are not a priority in the primary survey, but if missed could have long-term impacts for the patient. This article provides a structured approach of the head-to-toe examination required for the secondary survey. We follow the journey of a 9-year-old boy, Peter, who was involved in an accident-electric scooter versus car. After resuscitation and primary survey, you have been asked to carry out the secondary survey. This is a guide of the steps to follow in order to carry out a comprehensive examination to ensure nothing is missed. It highlights the importance of good communication and documentation.

Keywords: paediatric emergency medicine; paediatrics.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Child
  • Diagnostic Errors
  • Humans
  • Male
  • Resuscitation*
  • Retrospective Studies