Multiple wide-open, unregulated IV lines are not advocated for hemorrhagic shock. Pressure should be applied to large external exsanguination sites. During the circulation evaluation, pericardial tamponade must also be ruled out. The triad of muffled heart sounds, jugular venous distention, and decreased pulses should alert the medical team to the possibility of pericardial tamponade. Disability is rapidly assessed by checking pupil size and reactivity to light, level of consciousness, and motor function.
Exposure is obtained by cutting all clothing off the patient.
The patient should also be log-rolled to inspect the back for injury. Treatment at the injury site should be limited to a rapid trauma assessment, immediate airway management, ventilator control, and C-spine immobilization. All other treatment modalities should be completed en route to the definitive care facility. Basic responders should also request intercept for any of these situations. It is a thorough physical examination of the patient starting from the scalp and working down to the toes.