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Hey, hey, stop! Pull forward! Pull forward! Now were gonna cover the head-to-toe exam which is virtually the secondary survey. We do this when we have an awake and responsive patient. So we know the scenario when we came in and asked what happened. That this individual was crushed between a hard surface and a heavy piece of equipment so the injuries could be very very bad. But were going to not get focused so much on one given symptom we want to make sure were covering all the others. At any point in time we discover a potentially life-threatening condition, thats when we activate EMS or send somebody to go call 911 and bring AED back because if the progression of that life threatening condition gets worse we need to be ready to be able to treat it. But a quick head to toe is gonna look something like this. Hi my name is Roy Im a paramedic, do you know what happened today? They dont really understand whats happening so he may have a decreased level of consciousness. Are you