structured+approach

clinical toc This page describes the outline of the structured approach. More information about each component is provided in separate pages.

=Structured approach to seriously ill or injured = There are two key reasons for suggesting that a structure is learned and practised and then used in "real life". 1) When confronted by a badly injured or really sick casualty it is easy to become fixated on one problem and overlook other, potentially more serious problems. Sticking to a structure will help to ensure, even in the heat of the moment, that potentially serious problems are not overlooked. 2) If two or more rescuers are involved in casualty care, it will be so much easier if they both follow the same structure; they will be able to anticipate the moves and thoughts of each other and, because of that, are likely to provide better care. Presentation on structured approach & primary survey/resuscitation:

Structure does make a difference!
Coal and diamonds are both made from carbon. The difference in properties - and value! - is due to the differences in structure.

 =Initial approach = The SAFETAC structure is used in the initial approach. Its is designed to consider rescuer safety as well as the casualty's. This includes calling for help, consideration of scene safety, triage and primary survery with resuscitation. Primary survey and resuscitation go hand in hand; **life threatening problems are dealt with when they are found.** Ensure your approach does not endager the casualty: e.g. on steep ground approaching from above may dislodge loose rocks onto the casualty. =Further care = <span style="font-family: Georgia,serif;">After the "primary survey with resuscitation" phase all immediately life threatening problems should have been identified. Unless resources/expertise are not available life threatening problems should all be treated BEFORE moving onto the secondary survey phase. <span style="font-family: Georgia,serif;">If additional resource or expertise is needed consideration should be given to the most rapid means of evacuation (and the best place to evacuate the casualty to; the nearest hospital may not have necessary staff or equipment). <span style="font-family: Georgia,serif;">Primary survery/resuscitation is followed by secondary survey and, where necessary, further treatment, transport (evacuation) and definitive care (e.g. in a hospital). The secondary survery entails a full history and a full examination ("head to toe, front and back") though care should be given to protect the casualty from the elements. <span style="font-family: Georgia,serif;">In the wilderness setting evacuation may be delayed; a stage of prolonged field care may occur.

General first aid principles "in the field"