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Head to Toe AssessmentSo you have found someone and they
are breathing…now what?
H.A.IN.E.S. is good but…
You cannot always assume a person should be placed into the recovery position.
When it is safe to do so, you should always check for additional injuries.
Where do you start?
Where do you start
•Starting at the head is your best bet.•Check for head and spinal injuries•If injured, the victim could be paralyzed.
•Checking for bumps, bruises, or anything that should not be on/in the head or neck.
Feel with your hands, don’t PUSH!
•Grabbing or slapping the head is probably a bad idea.
•Sounds crazy, but people do this aggressively because they panic.
•Keep calm and gently feel for things that are not normal.
Feel with your hands, don’t PUSH!
•Also, forcibly handling someone’s head could cause paralysis or even death!
•---------- This slap on an injured person could seriously hurt them!
So the head and neck are clear, eh?
-Move to the shoulders and collarbone.
-Feel the skin gently and check for anything that is not normal.
Move to the core!•The core is the most important part of the body to check (after the head).
•Contains all vital organs (heart, lungs, stomach, intestines, etc.)
•Check for broken ribs which could puncture these organs.
•Punctured organs can lead to severe blood loss and death. Be careful!
Move to the core!•The core is the most important part of the body to check (after the head).
•Contains all vital organs (heart, lungs, stomach, intestines, etc.)
•Check for broken ribs which could puncture these organs.
•Punctured organs can lead to severe blood loss and death. Be careful!
Next, move to the lower legs and feet.
Continue to feel for irregular bumps and lumps that could indicate broken bones.
While you are doing this survey…
You should be talking with the person. If they suddenly come into
consciousness they will be surprised by you.
Constantly assure the person that you are trying to help them.
If the person is conscious, what do you think you should do?...
Perform HtT assessment
Perform the assessment while
the person is awake.
Start at the head and work downwards.
Instead of touching, ask if the person feels pain.
The outcome…
If the person feels no pain, ask them to stand and seek medical attention if necessary.
If the person feels pain, find out what pain they are feeling and await EMS’s arrival.