clinical home > primary survey

Circulation & haemorrhage control

By the end of the "C" part of the primary survey/resuscitation phase you should have
1) stopped significant bleeding (where possible)
2) ruled out or started the treatment of shock
This part of the primary survey/resuscitation phase is about haemorrhage control as much as (if not more than) it is about giving blood or fluid.

Why the emphasis on haemorrhage control?
Imagine you are in the bath and your foot catches the chain and the plug comes out.
Do you (a) turn the taps on full or (b) put the plug back in?

In a remote environment putting the plug back in is key

This section is divided into:
Assessment of circulation
Haemorrhage control
Fluid replacement

The perspective taken is that of a wilderness or remote one; this section does not aim to cover the "C" part of the primary survey & resuscitation phase as it would be performed in hospital