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The secondary survey starts after the ABCDE assessment has been completed and initial management of life-threatening conditions has taken place.
Vital signs are assessed and appropriate monitors are placed as needed. The secondary survey consists of a detailed head-to-toe examination. Also included are a history of the trauma event, as well as a brief history (allergies, medications, past illnesses, last meal). Monitor the patient continuously during this survey and obtain laboratory and radiologic studies. Definitive care can begin by splinting fractures and applying wound dressings.
Finally, a staff member should provide emotional support to the child until family members are present.