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I am Adelina a paramedic and today Im going to explain to you how to carry out a secondary survey on medical patient taking that a primary survey is fully complete we will then carry out a full set of vital signs the four primary vital signs are pulse rate breathing rate temperature and blood pressure the fifth vital sign responsiveness can also be measured using the app to scale after we check a set of vital signs we would then ask the patient a sample history the acronym sample stands for symptoms and signs allergies medications past medical history last oral intake and the events prior to the incident to get a more focused examining if the patient reports that he does have any pain we carry out the acronym known as or p q r s t it all stands for onset the P stands for provokes anything that provokes the clean the Q stands for the quality of the King is it a sharp stabbing pain or is it like a crushing pain the oralin stands for does the pain radiates anywhere else also your stands