| Is Further Airway Intervention Needed? : | Yes |
| Is There A Tension Pneumo-Haemothorax ? : | Yes, Chest Drain Placed |
| IS The Pulse and Fluids Started ? : | Yes |
| Large-bore IV placed and fluids started : | Yes |
| Full Survey For (and control of)External bleeding, Including: | Scalp ,Perineum ,Back |
| Assessed For Pelvic Fracture by : | X-ray |
| Assessed For Internal Bleeding By: | Exam |
| Is Spinal Immobilization Needed? : | Yes,Done |
| Neurovascular Status of all 4 limbs Checked? : | Yes |
| IS the patient Hypothermic? : | Yes, Warming |
| Does the Patient Need(if no contraindication) : | Urinary Catheter, Nasogastric Tube, chest drain, , |
| Has the Patient been Given : | Tetanus Vaccine, Analgesics, Antibiotics, , |
| Have All tests and imaging been Reviewed : | Yes |
| Which serial Examinations Are Needed: | Neurological |
| Plan of care discussed with : | Patient/Family, Receiving Unit, Primary team, , |
| Relevant Trauma Chart or Form Comleted? : | Patient/Family |