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when when youre doing emergency medicine whether its trauma or a patient thats in congestive heart failure or another patient that maybe had ingested a toxin the basic initial approach is always the same and thats doing a primary survey triaging the patient primary survey of the most the systems that we talked about before the respiratory system cardiovascular neurological system and identify problems with those systems regardless of why they come into your clinic first because if there are abnormalities those are what you address first to stabilize the patient and then determine if you can help that patient at your hospital or it needs to go to another facility for more definitive care