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Six dangers on scene
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9 Objectives
patient assessment
| Term | Definition |
|---|---|
| Scene size up | -determining MOI -determining NOI -additional resources -PPE/ BSI -number if Pts -C-spine |
| Six dangers on scene | -traffic -leaking fluids/fumes -broken utility poles/ downed lines -hostile bystanders -smoke/fire -HazMat |
| Blunt trauma | Force occurs over broad area -skin not usually broken |
| Penetrating trauma | Force occurs over small point of impact resulting in broken skin |
| DCAP-BTLS | Deformities Contusions Abrasions Punctures/ Penetration Burns Tenderness Lacerations Swelling |
| MOI criteria | -amount of force applied -length of time force is applied -areas of the body involved |
| NOI criteria | -characteristics of penetrating object -amount of force energy -area of body affected |
| Initial assessment doesn’t include | Pupillary responce |
| SAMPLE | Sign/symptoms Allergies Medication Pertinent past history Last oral intake Events leading up to illness injury |
| OPQRST | Onset Palliation Provacation Quality Region radiation Severity Timing |
| PEARRL | Pupils equal and round regular in size reactive to light |
| AED on children | 8 years old 55 Lb |
| Initial assessment goal | Identify and treat immediate or potential life threats |
| Goals of focused Hx exam and physical exam | Mental status |
| Skin color changes in deep pigment Pt locations | Sclera, conjunctiva, inside lip |
| AVPU | Alert (eyes open) Verbal stimuli Pain stimuli Unresponsive |
| What phase is AVPU used | Initial assessment |
| Unable to identify person is lapse in which memory | Long term memory |
| General impression | Assess the -environment -signs and symptoms -MOI -Chief complaint |
| Unresponsive Pt with decreased LOC | Assess the patency of the airway |
| Assess skin temp by | Touch Pt with ur wrist or back of hand |
| When to determine priority of Pts | Initial assessment (high, med, low priority) |
| MOI examples | -ejection from vehicle -death of another occupant -fall 3x Pt height -vehicle roll over -vehicle pedestrian collision -trauma to head, chest abdomin |
| Load and go Pt | -breathing -poor general impression -unresponsive -chest pain or systolic less than 100 -place skin -complicated child birth -uncontrolled bleeding -responsive but unable to complete command - severe pain -inability to move body part |
| Ongoing assessment question | -is treatment improving condition -has identified problems become better or worse -what is nature of newly identified problem |
| Three common causes of subcutaneous emphysema | -ruptured airway -pneumothorax -rib fractures |
| Paradoxical breathing | FLAFL |
| Rales caused by | Cardiac failure |
| Seven common vitals | -Respiration -pulse -blood pressure -skin- color temp condition -pupil reaction -capillary refill -LOC (AVPU) |
| Normal adult vitals | Pulse form 60-100 BP 90-140 |
| Normal child vitals | Pulse 70-150 BP 80-110 |
| Normal infant vitals | Pulse 100-160 BP 50-95 |
| Causes of altered mental status | -head trauma -hypoxia -hypoglycemia -stroke -cardiac -drug |
Created by:
emt2023deal
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