3. Primary survey
▷Airway
patent airway , no tenderness along C spine , can active
neck movement all direction
▷Breathing
Normal breathsound clear both lungs, CCT negative
▷Circulation
BP 100 / 56 mmHg, PR 68 bpm
▷Disability
E4V5M6 ,pupil 2 mm react to light both eyes
▷Exposure
No external wound , tenderness and limit ROM Rt wrist
4. Secondary survey
▷Allergy
no drug, no food allergy
▷Medication
No current medication
▷Past illness
No underlying disease
▷Last meal
12.00น.
6. Physical examination
• Vital sign BP 100 / 56 mmHg, PR 68 bpm
RR 20/min Temp 36.5 ˚C
• HEENT not pale conjunctiva anicteric
sclera
• Heart normal S1S2 no murmur
• Lungs normal breathsound clear both
lungs
• Abdomen soft not distend not tender
normoactive bowel sound
7. Physical examination
▷Extremities
Mild swelling and tenderness
Pain on active movement
Limit ROM on Flexion and extension Rt. Wrist
No external wound , no deformity
Radial pulse 2+ capillary refill < 2 sec
15. ▷15-30% of fracture in childern
▷All children who are still growing
• risk for growth plate injuries
• peaks in adolescence.
▷occur twice as often in boys as in girls
• girls finish growing earlier than boys.
Epidermiology
