In the Primary Survey's Disability assessment, what is the focus?

• A. Vital signs and perfusion
• B. Neurological status and level of consciousness
• C. Respiratory rate and oxygen saturation
• D. Skin temperature assessment

Answer: (B)

Disability in the Primary Survey centers on brain function—how awake and neurologically responsive the patient is. You quickly assess level of consciousness, orientation, and responsiveness to commands or pain, and you check pupil size, equality, and reactivity. Using a simple scale like AVPU or the Glasgow Coma Scale helps quantify impairment. This assessment guides urgent decisions such as airway protection, need for rapid neuro evaluation, and imaging. The other elements mentioned (vital signs with perfusion, respiratory status, or skin temperature) relate to other parts of the resuscitation process, not the neurological focus of this part.