When should a first responder conduct a secondary assessment?

The secondary assessment is conducted after the first responder has completed the primary assessment and determined that there are no immediate life threats to the patient. This is essential because the primary assessment focuses on identifying and addressing critical issues that could lead to loss of life or significant harm, such as airway blockages, breathing problems, or severe bleeding.

Once these life-threatening conditions are managed and stabilized, the first responder can proceed with the secondary assessment. This assessment involves a more thorough evaluation of the patient’s condition, including obtaining a patient history, checking vital signs, and performing a head-to-toe examination. This comprehensive approach ensures that any non-life-threatening injuries or medical conditions can be identified and addressed appropriately.

In contrast, conducting a secondary assessment right upon arrival at the scene would be premature, as immediate threats must be prioritized. Waiting for advanced medical personnel to arrive before performing a secondary assessment might also delay necessary care that could be provided on site. Lastly, performing a secondary assessment immediately after providing first aid without first confirming the patient's stability can lead to overlooking critical issues that require urgent attention.