Lecture #6

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Lecture #6
2013-04-16 14:56:49
MCI Scene Size up Patient Assessment

Thurston County EMT
Show Answers:

  1. What are the 4 components of the patient assessment?
    • Scene size-up
    • Primary Assessment
    • Secondary Assessment (medical/trauma)
    • Reassessment
  2. Scene size-ups consists of...
    • BSI/PPE
    • Scene Safety
    • MOI (suspected trauma)
    • NOI (suspected medical)
    • Number of Patients/Triage
    • Additional Resources
    • Spinal Immobilization Needed
  3. In a nutshell, what is Protocol Appendix B, Policy 27?
    If a BLS patient becomes an ALS patient and ALS response time is high, contact ALS to ask if they would like to set up a rendezvous point or if they would like direct transport to the nearest hospital
  4. When should you reassess vitals?
    • at least every 5 minutes with unstable/sick pt
    • at least every 15 minutes with stable/not sick pt
  5. What does APVU stand for?
    • Alert
    • Verbal
    • Pain
    • Unresponsive
  6. What is the definition of an MCI?
    a medically oriented that overwhelms the initial response
  7. What is the "choke point" in an MCI?
    where the triage group supervisor is located and is doing a secondary round of triage
  8. What is in an MCI kit?
    • ICS vests with job aides in pockets
    • triage tags
    • transportation worksheets
    • color coded tarps
  9. What is the biggest drawback of the START triage system?
    creates a lot of "red" patients
  10. What is START triage?
    Simple Triage And Rapid Transport
  11. What are the 3 parameters in START triage?
    • respirations: fast? slow? noisy?
    • pulse: have radial pulse?
    • mentation: follow commands?
  12. What are the color codes and what do they mean for START triage?
    • Red: Immediate Transport
    • Yellow: Delayed Transport
    • Green: Walking Wounded
    • Black: Deceased
  13. What is the name of the tag used in START triage?
  14. Primary Assessment of a trauma or medical pt consists of...
    • form general impression/chief complaint
    • establish in-line stabilization if needed
    • assess LOC (APVU)
    • assess airway, breathing, circulation (ABCs)
    • treat life threats/prioritize pt's needs
    • Identify if they are ALS
    • transport decision
  15. steps in secondary assessment on a trauma pt with non-significant MOI, pt alert and oriented
    • assess injury site
    • get baseline vitals
    • SAMPLE history
    • treatment as needed
    • transportation decision
  16. steps in secondary assessment on a trauma pt with significant MOI and/or altered mental status
    • continue in-line stabilization
    • reconsider transportation decision
    • reassess mental statis
    • rapid secondary assessment (60sec head to toe and anterior & posterior)
    • baseline vitals
    • SAMPLE history
    • treatment as needed
    • transportation decision
  17. steps in trauma pt reassessment
    • reassess general impression
    • reassess metal staus
    • reassess/maintain airway
    • reassess breathing and pulse (rate and quality)
    • reassess skin color, temp, condition and bleeding
    • reassess pt priority
    • reassess vitals
    • reassess emergency care
    • continue to monitor pt
  18. if there is a change in pt's condition, you should...
    • repeat primary/secondary assessment
    • provide appropriate emergency care
    • reassess vitals
    • continue to monitor pt