Medical Assessment

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Author:
bryantfire
ID:
224094
Filename:
Medical Assessment
Updated:
2013-06-22 13:47:12
Tags:
Assessment UAV Paramedic
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Description:
Medical Assessment
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  1. Medical Assessment
         Scene Size Up
    • BSI
    • Determine scene/situation safe
    • Determine MOI/NOI
    • Determine # of patients
    • Requests additional resources if necessary
    • Consider C-spine stabilization
  2. Medical Assessment
         Initial Assessment
    • Verbalizes general impression
    • Determine responsiveness (AVPU,ANO)
    • Determine chief complaint
    • Assess airway (open and manage if needed)
    • Assess Breathing
    •      Rate, rhythm, quality (TV), effort
    •      Assure adequate ventalation
    •      Initiate appropriate O2 therapy
    •      Manage injuries that may compromise
    •       breathing
    • Access Circulation
    •      Palpate pulse (rate, rhythm, quality)
    •      Skin signs (color, temp, moisture)
    •      Assess for/control bleeding
    • Consider
    •      Vital signs
    •      IV therapy
    •      Cardiac monitor
    • Determine
    •      Blood glucose if not alert
    •      Breath sounds if SOB
    • Decision
    •      Priority of patient/transport decision
    •      (Immediate, priority, delayed, designated
    •       facility)
  3. Medical Assessment
         Focused History
    • History of present illness
    •      O,P,Q,R,S,T
    • Medical History
    •      SAMPLE
  4. Medical Assessment
          Physical Exam
    • Head
    •      Inspect eyes, nose, mouth, facial area
    •      Inspect and palpate scalp and ears
    • Neck
    •      JVD, tracheal deviation, accessory muscle
    •       use
    •      Palpate cervical spine and carotid pulse
    • Chest
    •      Inspect and palpate clavicle, sternum, ribs
    •      Auscultate lung sounds
    • Abdomen
    •      Inspect and palpate (TRD, pulsating mass,
    •       guarding)
    • Pelvis
    •      Inspect and palpate (priapism,
    •       incontinence)
    • Legs
    •      Inspect and palpate
    •      Assess for PMS (pulse, motor, sensation)
    • Arms
    •      Inspect and palpate
    •      Assess for PMS
    • Back (log roll if supine)
    •      Inspect and palpate posterior thorax,
    •       lumbar and buttocks
    • Neurological Status
    •      Pupil size and response
    •      GCS
    • Process vital signs
    • State field impression of the patient
    • Verbalize treatment plan for patient and call
    •      for appropriate interventions
    • Transport decision is reevaluated
  5. Medical Assessment
         On-going Assessment
    • Repeats initial assessment
    • Repeats vital signs
    • Evaluates response to treatment
    • Repeats focused assessment regarding patient
    •      complaint
  6. Medical Assessment
         (a) OPQRST
         (b) SAMPLE
         (c) DCAPBTLS
         (d) TIC
    • (a) Onset, Provacation/Palliation, Quality,
    •       Radiation/Recurrense, Severity, Time
    • (b) Signs/Symptoms, Allergies, Medications,
    •       Pertinent medical history, Last oral
    •        intake, Events leading to injury/illness
    • (c) Deformities, Contusions, Abrasions,
    •       Punctures, Burns, Tears, Lacerations,
    •       Swelling
    • (d) Tenderness, Instability, Crepitis
  7. Medical Assessment
          Sequence
    • Scene Size Up
    • Initial Impression
    • Focused History
    • Physical Exam
    • On-going Assessment

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