What is the purpose of the secondary survey in TCCC?

The secondary survey is a critical component of the TCCC process, specifically designed to identify and address additional injuries that may not have been discovered during the primary survey. The primary survey focuses on the immediate life-threatening conditions of the casualty, such as airway obstructions, breathing difficulties, and circulation issues. Once these life-threatening conditions are managed, the secondary survey allows for a more thorough assessment of the casualty, including a comprehensive physical examination.

During the secondary survey, the medic systematically assesses the entire body for signs of trauma, such as bleeding, fractures, or other injuries that could complicate the casualty's condition or lead to further deterioration if not addressed promptly. This step is vital because injuries often coexist in multiple areas of the body, and failing to identify these can have severe consequences for the casualty’s outcome.

In addition, the secondary survey aids in creating a comprehensive treatment plan, ensuring that all injuries are treated before the casualty is evacuated. By following this structured approach, the medic improves the chances of positive outcomes and ensures a higher standard of care is provided.