In the secondary assessment, what does DOTS stand for?

In the context of a secondary assessment in first aid, DOTS is an acronym that stands for Deformities, Open injuries, Tenderness, and Swelling. This systematic approach is crucial for assessing a victim's condition after the primary survey has been completed, ensuring no significant injuries are overlooked.

• Deformities refer to any noticeable changes in the natural shape or structure of the body. Identifying deformities can help in diagnosing fractures or dislocations.

• Open injuries include lacerations and puncture wounds that expose underlying tissues, which are critical to manage to prevent infection and control bleeding.

• Tenderness involves checking for painful areas when applying pressure, which may indicate injury to underlying structures.

• Swelling is often associated with inflammation due to injury. Observing swelling can signal fractures, sprains, or other trauma.

This assessment, incorporating DOTS, helps first responders gather important information about the patient’s condition and determine the appropriate next steps in care or transport.