tertiary survey
Comprehensive head-to-toe examination performed 24-48 hours after initial trauma evaluation to identify missed injuries.
Full Definition
A systematic re-examination of trauma patients performed after the acute resuscitation phase to identify injuries that may have been overlooked during initial assessment. The tertiary survey is typically conducted 24-48 hours after admission when the patient is hemodynamically stable and mental status has improved. This examination includes repeat physical examination, review of all imaging studies, and consideration of additional diagnostic tests. The process is crucial for detecting missed injuries, which occur in 2-50% of trauma patients depending on injury severity.
Usage
Usage note: Performed after primary and secondary surveys; timing should be documented.
In Context
- "The tertiary survey revealed a previously undiagnosed scaphoid fracture on the third hospital day." — Trauma service note
- "Tertiary survey protocols have reduced missed injury rates in our trauma center." — Quality improvement report