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. 2014 Nov 6;19:10.3402/meo.v19.24841. doi: 10.3402/meo.v19.24841

Case 1.

Skull base fracture and epidural hematoma

Correct

Action Y N Score (if No) Remarks Score
Danger O O −3
Response:
 Verbal approach O O −2
 Gently shake shoulders O O −5
Shout for help O O 3
Airway check O O −3
Breathing check O O −3
Circulation check
 Radial artery (5–12 sec) O O −3
 Checks capillary refill time or skin color and temperature O O −3
Disability 1
 Checks for signs of spinal cord injury: numbness, motor response, sensory response O O Complete: −8 Partial: −4
 Assess for loss of consciousness O O −3
 Assess for amnesia O O −3
 Inspection for CSF/blood in nose and ears O O −3
 Checks orientation O O −1
Calls emergency services O O −10
Exposure
 AMPLE O O −0
 Secondary survey O O −0
Monitoring
 Reassessment of airway patency O O −5
 Reassessment breathing and circulation O O −4
Faulty moves: (if Y)
 Unnecessary movement of victim O O −5
Correct diagnosis:
 Diagnosis correct?
(Skull base fracture and epidural hematoma) Only one correct: −3 None correct: −6