During rapid trauma assessment, where should the detailed physical exam be performed?

• A. At the scene
• B. Before transport
• C. After transport
• D. In route

Answer: (D)

The key idea is that a detailed physical exam is part of the secondary survey and is done after life threats have been addressed and the patient is moving toward definitive care. In a rapid trauma assessment, you prioritize the primary survey to stabilize Airway, Breathing, and Circulation, control bleeding, spine protection, and rapid transport. Once those urgent tasks are underway or completed, the more thorough, head-to-toe examination is performed en route to the hospital, allowing you to review and document injuries without delaying transport. That’s why the detailed exam is best done in route.