EMT-Chapter 13-Patient Assessment

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EMT-Chapter 13-Patient Assessment
2013-07-31 14:58:38
emt patient assessment

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  1. Primary Assessment
    Assessment following scene size up to discover and treat immediately life-threatening  conditions
  2. Penetrating Trauma
    A force that pierces the skin and body tissues.
  3. Blunt Truama
    A force that impacts or is applied to the body but is not sharp enough to penetrate it, such as a blow or crushing injury.
  4. Chief Complaint
    The patient's answer to "Why did you call the ambulance?"
  5. In-line Stablization
    • Bringing the patient's head into neutral position in which the nose is lined up with the navel and holding it there manually.
    • Hold C-spine.
  6. AVPU
    A mnemonic for alert, responds to verbal stimuli, responds to painful stimuli, unresponsive, to characterize levels of responsiveness.
  7. Flexion Posturing
    Back arched, arms flexed inward toward the chest. Also called decorticate posturing.
  8. Extension Posturing
    Back arched, arms extended straight out parallel to the body. Also called decerebrate posturing.
  9. Occluded
    Closed or blocked; not patent, as an occluded airway.
  10. Patent
    Open, not blocked
  11. Apnea
    Absence of breathing; respiratory arrest.
  12. Dyspnea
    Shortness of breath or perceived difficulty in breathing.
  13. Secondary Assessment
    The portion of patient assessment conducted after the primary assessment, for the purpose of identifying additional serious or potentially life-threatening injuries or conditions and as a basis for further emergency care.
  14. Cerebralspinal Fluid(CSF)
    A clear fluid that surrounds and cushions the brain and the spinal cord.
  15. Paradoxical Movement
    • A section of the chest that moves in the opposite direction to the rest of the chest during the phases of respiration.
    • Typically seen with a flail segment.
  16. Rapid Secondary Assessment
    A head to toe physical examination that is swiftly conducted on a trauma patient who has an AMS or a significant MOI or on a medical patient who has an AMS.
  17. Modified Secondary Assessment
    A physical exam that is focused on a specific injury site on responsive trauma patient with no significant MOI or critical injuries or on a medical patient who is alert, oriented, and stable
  18. Brain Herniation
    A protrusion, or pushing, of a portion of the brain through the cranial wall.
  19. Aspiration
    Breathing a foreign substance into the lungs
  20. Jugular Vein Distension(JVD)
    Normal veins will be slightly engorged in a patient who is lying supine.
  21. Orthopnea
    Shortness of breath while lying flat.
    • Deformities
    • Contusions
    • Abrasions
    • Punctures/penetrations
    • Burns
    • Tenderness
    • Lacerations
    • Swelling