Snapshot A 45-year-old woman is brought to the ED after falling 6 feet from a ladder into a bed of bushes while cleaning windows during work as a housemaid. She is brought bound to a backboard with a C-collar. She is breathing spontaneously, but with light and shallow breaths. Her blood pressure is 90/60 mmHg, pulse is 110/min, respirations are 25/min, and SaO 2 92% on room air. The patient's pupils are 3 mm bilaterally, reactive to light; she blinks appropriately. She has scrapes throughout her lower and upper extremities, but no hemorrhaging wounds. Two 18-gauge IVs are inserted and 1 L Lactated Ringer's is started. introduction Secondary survey is done after rapid primary survey problems have been addressed Major injuries, areas of concern, points of contact are identified Full physical exam and radiographs are needed (C-spine, chest, pelvis especially in blunt trauma) Presentation Trauma-focused history using AMPLE mnemonic Often obtained by emergency medical technician to guide primary survey interventions, but needs to be reviewed again login to view 5 more bullets Diagnosis Head and neck login to view 12 more bullets Chest login to view 4 more bullets Abdomen login to view 4 more bullets Musculoskeletal login to view 5 more bullets Neurological login to view 8 more bullets Management Based on history and physical exam, obtain: login to view 8 more bullets Imaging workup based on mechanism of trauma Urgent consultations based on differential diagnosis