Which type of trauma survey is performed for a patient with a significant mechanism of injury (MOI)?

The rapid trauma assessment is specifically designed for patients who have experienced a significant mechanism of injury (MOI). This type of assessment is performed quickly and systematically to identify any life-threatening conditions or injuries that may not be immediately visible. It allows responders to assess the patient’s general condition and prioritize immediate interventions based on their findings.

During a rapid trauma assessment, the provider performs a head-to-toe examination to check for any signs of injury, such as deformities, contusions, abrasions, punctures, burns, tenderness, lacerations, or swelling (known as DCAP-BTLS). This systematic approach is crucial, especially in trauma cases, because time is of the essence in addressing critical injuries that could compromise the patient's life.

In contrast, other types of assessments, such as the focused trauma assessment, are used for patients with a limited MOI or when the primary survey indicates that the patient does not have any immediate life threats. The detailed assessment encompasses a more thorough examination and history-taking once immediate life threats have been managed. The secondary assessment follows a primary survey and initial interventions, allowing for comprehensive evaluation but is typically used after the initial life-threatening concerns have been addressed.

Thus, the rapid trauma assessment is the most appropriate choice for a patient