CIEMT Patient Assessment Practice Exam

In trauma assessment, the D in DCAP-BTLS stands for Deformities. This means looking for abnormal shapes or misalignment of bones or joints during a quick head-to-toe exam. A deformity signals possible fracture or dislocation and guides you to immobilize and protect the area to prevent further injury. The rest of the acronym covers other injury types—contusions, abrasions, penetrations, burns, tenderness, lacerations, and swelling—so the D category is specifically about abnormal bone or joint shapes rather than bruising, scrapes, or punctures. Recognizing a deformity early helps prioritize splinting, transport decisions, and cautious handling.