Card Set Information
Three main components to the patient assessment:
Scene Size Up
Primary Assessment (Initial Assessment)
Secondary Assessment (Focused History and Physical)
Two main components of the scene size up:
Body Substance Isolation (BSI)
Scene Size Up
Acronym for the scene size up:
ersonal, partner, patient safety, reconsider BSI
umber of Patients
echanism of Injury/Illness
eed for Spinal Mobilization - Manual stabilization begins as you start the initial assessment
What is done at some point during the primary assessment?
Determine level of consciousness (LOC) - person, place, time, event
What four things determine LOC?
What are the nine main components of the primary assessment?
General Impression - Life Threatening Conditions
Acronym used to determine responsiveness:
What should be done if the patient is found to be unresponsive during the primary assessment?
Check the breathing. If breathing is absent or agonal, check for a pulse.
What two things are considered when checking the airway during the primary assessment?
What should be considered if the airway is obstructed?
What two things are assessed during breathing assessment of the primary assessment?
Is the breathing:
What two things need considering when assessing breathing during the primary assessment?
What four things are assessed during the circulation assessment of the primary assessment?
Life Threatening Bleeding
What three aspects of pulse are being assessed during the circulation assessment of the primary assessment?
What two things should be considered during the circulation assessment of the primary assessment?
What two things need consideration when making a transport decision during the primary assessment?
Distance from ALS/Hospital
The type of secondary assessment is determined based on what two types of patients?
Response Medical/Minor Trauma
Major Trauma/Unresponsive Medical
What are the four main components to a secondary assessment of a responsive medical/minor trauma patient?
Pertinent Body Check
What are the five main components to a secondary assessment of major trauma/unresponsive medical patient?
60-Second Rapid Trauma Assessment
Detailed Physical Exam
What must be considered at all times during a secondary assessment?
consider all interventions
What does the OPQRST mnemonic mean in the secondary assessment?
nset - Sudden/Gradual
What does the SAMPLE mnemonic mean in the secondary assessment?
ertinent Medical History
ast oral intake/Last exit
vents Surround Incident
What six things are assessed when checking vitals during the secondary assessment?
What three things are checked while looking at eyes during the vitals assessment of the secondary assessment?
What three things are checked when assessing respirations during the vitals assessment of the secondary assessment?
What three things are checked when assessing pulse during the vitals assessment of the secondary assessment?
vWhen do we oxygenate a patient after checking pulse oximetry during the vitals assessment of the secondary assessment?
is below 95 percent
With a spinal injury, what do you direct the patient not to do?
move their head
How do you approach a patient?
from the front so they do not move their head
What is the first question to ask during the Patient Rapport step?
Why did you call EMS?
How do we assess pain?
scale of 0 to 10
For a major trauma/unresponsive medical patient, when is the 60 second rapid trauma assessment performed? Before or during transport?
For a major trauma/unresponsive medical patient, when are vitals, OPQRST, SAMPLE, and detailed physical exam performed? Before or during transport?