Which statement about the secondary assessment is true?

Which statement about the secondary assessment is true?

• A. It replaces the primary survey
• B. It identifies additional injuries or conditions not found during the primary survey
• C. It should be performed before contacting medical control
• D. It is unnecessary if the patient is stable

Answer: (B)

The secondary assessment is the follow-up, thorough evaluation done after life-threatening problems have been addressed in the primary survey. Its purpose is to uncover injuries or medical conditions that weren’t evident at first. Through a careful head-to-toe exam, a complete history (SAMPLE), and ongoing vital checks, you can detect issues such as hidden fractures, internal bleeding, or evolving medical problems that will influence treatment and where you transport the patient. Even if the patient seems stable, the secondary assessment remains important because stability can mask injuries that could worsen without notice. This step complements the primary survey and informs decisions about immobilization, pain control, and destination for care. It’s part of the overall assessment sequence after initial stabilization, not something that replaces the primary survey.

The secondary assessment is the follow-up, thorough evaluation done after life-threatening problems have been addressed in the primary survey. Its purpose is to uncover injuries or medical conditions that weren’t evident at first. Through a careful head-to-toe exam, a complete history (SAMPLE), and ongoing vital checks, you can detect issues such as hidden fractures, internal bleeding, or evolving medical problems that will influence treatment and where you transport the patient.

Even if the patient seems stable, the secondary assessment remains important because stability can mask injuries that could worsen without notice. This step complements the primary survey and informs decisions about immobilization, pain control, and destination for care. It’s part of the overall assessment sequence after initial stabilization, not something that replaces the primary survey.