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