Assessments

Front 1

Rapid secondary Assessment
Trauma or Unresponsive person

Back 1

DCAPBTLS for all:
1. Head
2. Ears
3. Face
4. Eyes/Pupils
5. Nose
7. Mouth
6. Neck/JVD,Tracheal deviation, Subcutaneous Emphysema
7. Chest/Paradoxical Motion, Flail Segment
8. Lung Sounds
9. Abdomen
10. Pelvis
11. Lower Extremities/ PMS
12. Upper Extremities/ PMS
13. Posterior Body– Backboard

Front 2

O–P–Q–R–S–T

Back 2

O– Onset/ When & How did the symptom begin?
P– Provocation,Palliation/ What makes it better or worse?
Q– Quality/ How would you describe the pain?
R– Radiation/ Where do you feel the pain where does the pain go?
S– Severity/ How bad is the Pain?
T– Time/ How long have you had the pain?

Front 3

Reassessment performed on all Patients

Back 3

AIR
1. Assess
2. Intervene
3. Reassess

Front 4

Three basic reason for reassessment
T–A–N

Back 4

1. Trending
2. Additional Injuries or conditions
3. Need to adjust care

Front 5

Reassessment Procedure
P–V–I–T

Back 5

PVIT
1. Primary assessment
2. Vitals reassessment
3. Interventions, check/adjust
4. Trends in patient condition recorded

Front 6

Modified secondary assessment
Responsive
Trauma or Medical

Back 6

1. Focus on injured area/illness
2. Palpate injured area
3. Vitals
4. S.A.M.P.L.E. history

Front 7

S.A.M.P.L.E.

Back 7

S– Signs & Symptoms
A– Allergies
M– Medications
P– Past Pertinent History
L– Last oral Intake
E– Events leading up to illness or injury

Front 8

Scene Size–Up

Back 8

1. Scene Safety
2. Standard Precautions
3. MOI/NOI (trauma or medical)
4. Number of Patients
5. Additional resources

Front 9

Primary Assessment

Back 9

1. General impression
2. LOC (AVPU) (PPT)
3. Airway
4. Breathing
5. Circulation
6. Priorities

Front 10

Forming a General Impression
A–G–O–M–C–I

Back 10

AGOMCI
1. Age
2. Gender
3. Overall impression
4. MOI/NOI (trauma or Medical
5. Chief complaint
6. Identify & manage any Life Threats

Front 11

D–C–A–P–B–T–L–S

Back 11

D– Deformities
C– Contusions (Bruises)
A– Abrasions
P– Penetrations/Punctures/Paradoxial Motion (chest only)
B– Burns
T– Tenderness/tracheal deviation in neck
L– Lacerations
S– Swelling

Front 12

Secondary Assessment
No Significant MOI
No multiple injuries
No Altered Mental Status

Back 12

1. Reconsider MOI
2. Modified secondary assessment
3. Vitals
4. S.A.M.P.L.E.
5. Transport
6. Assess/intervene/Reassess

Front 13

Secondary Assessment
Significant MOI
Multiple Injuries
Altered Mental Status

Back 13

1. Continue In–Line stabilization
2. Reconsider MOI
3. Reconsider ALS
4. Reconsider Transport Decision
5. Reassess LOC (AVPU)
6. Rapid Secondary Assessment
7. Vitals
8. S.A.M.P.L.E.
9. Transport
10. Assess/Intervene/Reassess