What is the first step in the "Head Trauma/Hypothermia" assessment according to P-MARCH-P?

The first step in the "Head Trauma/Hypothermia" assessment according to the P-MARCH-P protocol is to perform a thorough evaluation of the head, which includes assessing for DCAPBTLS—Deformities, Contusions, Abrasions, Penetrations, Burns, Tenderness, Lacerations, and Swelling. This comprehensive examination is crucial as it allows for the identification of any immediate threats resulting from trauma that could compromise the patient’s condition.

By implementing a focused assessment of the head right away, a provider can prioritize interventions based on the findings, such as controlling bleeding or addressing more serious injuries like skull fractures. Understanding and recognizing these signs early in assessment provides crucial information that influences subsequent management and treatment strategies.

Checking for cervical spine injury, evaluating airway patency, or assessing pupil reaction are also important components of the trauma assessment protocol, but they follow the initial evaluation of external injuries to the head, which is critical for determining immediate care needs.