ZERO POINT SURVEY (ZPS) - STEPUP Mnemonic

Dubbed the ‘Zero Point Survey’ (ZPS), so called because first contact with a patient is rarely ‘Time Zero’ for a prehospital mission or hospital resuscitation case; there is invariably time for preparation of oneself, one’s team, and the environment (including equipment) prior to the primary survey and commencement of resuscitation. Following the assessment and management of STEP (self, team, environment & patient), the team should be regularly Updated on patient status and informed of the Priorities

PRE-RESUSCITATION 
S - Self 
 - Physical Readiness: I'M SAFE 
 - Cognitive Readiness: Breathe, Talk, See, Focus 
T - Team 
 - Leader identified 
 - Roles allocated 
 - Briefing 
E - Environment 
 - Danger, Space, Light, Noise, Crowd control 

RESUSCITATION COMMENCED 
P  - Patient 
 - Primary Survey ABCDE 
U - Update 
 - Share mental model of patient status 

P - Priorities 
 - Identify team goals and set mission trajectory 

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Dr. Priyanka Teckchandani @ambrosialrose · 8 months ago
GrepMed Pulmonary and Critical Care Editor - Academic Hospitalist UC Davis Medical Center Internal Medicine, Pulmonary and Critical Care Medicine Fellow UC Irvine ‘22