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What are the steps in Scene Size Up?
- Number of Patients
- More Resources
As you near the scene you should
- Look/Listen for others responding
- Collision Related Power Loss
- Flow of Traffic
Danger Zone for Apparent Hazards
Danger Zone for NO Apparent Hazards
What is the danger zone for fuel leaking or car on fire
100ft in all directions
When wires down how do you determine safe area
from point of attachment
What are the points in the 3 collision concept
What are the 4 types of force
- Flexion or Hyperextention
What are the types of MVC
- Head On
- Rear End
- Side Impact
What is the purpose of the Initial Assessment
To discover any potential life threats
What are the 6 Steps of the Initial Assessment?
- General Impression
- Mental Status
- Determine Priority
If LOC is lower then alert you should always?
Provide O2 with a NRB
In Unresponsive Medical Patients how should you open the airway?
Head Tilt, Chin Lift
With an unresponsive Trauma Patient how should you open the airway?
If the patient is not alert and respirations are less the 8 you should
use a BVM with atleast 10LPM
If the patient is alert and thier respirations are more then 24 you should?
Place on a NRB
What are you looking for when you are at the circulation part of the initial assessment?
- Look for gross bleeding
- Skin color and Temp
What are the arteries that you check for a pulse?
- Posterior Tibial
- Dorsalis Pedis
In a responsive patient you should check the ...pulse
In a UN responsive patient you should check the ....pulse
Vital Signs are?
- 1. Vital signs and SAMPLE history are major components of your assessment
- 2. Usually obtained during the "Focused History and Physical Exam"
- 3. They are outward signs of what is going on inside the body
- 4. 1st set known as the "Baseline Vitals Signs"
BRASTRAPP Stands for?
- B = Blood Pressure
- R = Respiration
- A = Alertness (Level of Consciousness)
- S = Skin Color
- T = Temperature (Skin)
- R = Reaction to Pain
- A = Ability to move (Extremities)
- P = Pulse
- P = Pupils
Adult Male Blood Pressure
- <= 120 Systolic
- <= 80 Diastolic
Blood Pressure of Children and Infants
- Approx 80 + age times 2 Systolic
- Avg 2/3 Diastolic
Low BP can indicate Shock
High BP, can indicate a Neurologic event
How do you check respiration rate?
Watch breathing for 30 seconds, count each breath and mltiple times 2
How are Respiration rates classified
Normal Shallow Labored Noisy
Normal Respiration rate for an adult is?
What method do you use to assess Alertness
What does AVPU stand for?
When you are assessing skin color, what are you looking to see if the body is doing
What is the term for a slow pulse
What is the term for a fast pulse
What is the normal pulse rate for an adult
What are the 2 things needed to be present to have breathing sounds
Air Movement and Functioning Airways
What does SAMPLE stand for
- Signs and Symptoms
- Pertinent Medical HIstory
- Last Oral Intake
- Events leading up to illness
Under Signs and Symptoms what does PQRST stand for
- Provoked it
- When did it start
Ideally when should you take vitals
- During assessment
- During Transport
- Arrival to Hospital
- Changes in condition
- Medical Intervention
- Stable patients every 15
- Unstable Patients every 5
C-Collars are measure how?
By length not width
Is an assessment of a scene to assure safety and provide useful info about the patient
What is the order for doing a rapid trauma assessment?
What are the components of the On-Going assessment?
- Repeat Initial Assessment
- Repeat Vitals
- Repeat Focused
- Check interventions
What are the types of Radio Communications
Mobile Radio Specs?
Lower transmission levels 20-50 watts and 10-15 mile range
Portable Radio Range
What does CHART stand for?
- Rx (Treatment)
What are the steps of assessment with a SIGNIFICANT MOI TRAUMA PATIENT
- C Spine Stabilization
- Rapid Trauma Assessment
- Detailed Physical Exam
- Ongoing Assessment
What are the steps of assessment for a NO SIGNIFICANT MOI TRAUMA PATIENT
- Determine Chief Complaint
- Perform Focused Physical Exam
- Ongoing Assessment
What are the steps in a RESPONSIVE Medical Patient
- Focused Physical
What are the steps for a UNRESPONSIVE Medical Patient
- Perform Rapid Physical Exam
- Consider ALS Request
When should you do an on going assessment?
- After finishing lifesaving interventions
- A detailed Physical Exam