Which sequence best describes the ATCN secondary survey?

Which sequence best describes the ATCN secondary survey?

• A. Head-to-toe exam, reassessment, imaging as needed
• B. Primary survey first
• C. Focused assessment with trauma ultrasound only
• D. Imaging first, then exam

Answer: (A)

The main idea being tested is the correct sequence of the ATCN secondary survey: after the primary survey and stabilization, perform a thorough head-to-toe examination, then reassess the patient, and use imaging as needed to evaluate injuries. This approach ensures no injuries are missed and imaging complements the exam rather than replaces it. Imaging first would skip the comprehensive physical assessment, and focusing only on focused ultrasound omits injuries outside its scope. The primary survey must come first, so the secondary survey is performed after stabilization and during ongoing reassessment.

The main idea being tested is the correct sequence of the ATCN secondary survey: after the primary survey and stabilization, perform a thorough head-to-toe examination, then reassess the patient, and use imaging as needed to evaluate injuries. This approach ensures no injuries are missed and imaging complements the exam rather than replaces it. Imaging first would skip the comprehensive physical assessment, and focusing only on focused ultrasound omits injuries outside its scope. The primary survey must come first, so the secondary survey is performed after stabilization and during ongoing reassessment.