The rapid trauma assessment is a focused head-to-toe examination performed after immediate life threats have been identified and addressed during the primary survey. Its purpose is to quickly identify significant injuries, develop an overall picture of the patient’s condition, and guide treatment and transport decisions.

During the rapid trauma assessment, providers systematically examine the patient for signs of injury, including bleeding, deformities, tenderness, instability, burns, and other traumatic findings. This assessment should be performed efficiently while maintaining awareness of previously identified life-threatening conditions.

The assessment typically includes evaluation of the:

• Head and face
• Neck
• Chest
• Abdomen
• Pelvis
• Extremities
• Posterior body surface, when appropriate

Findings from the rapid trauma assessment help providers identify additional injuries that may not have been apparent during the primary survey and assist in determining treatment priorities and transport needs.

Trauma patients can deteriorate quickly. Reassessment should occur frequently, especially when there is a change in patient condition or following a significant intervention.

Remember: The primary survey finds and treats immediate life threats. The rapid trauma assessment helps identify the injuries that may be hiding behind them.