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6 Cards in this Set
- Front
- Back
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SCENE SIZE-UP
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BSI
Scene safe Mechanism of injury/nature of illness Number of patients Requests additional EMS assistance if necessary Stabilize the spine |
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PRIMARY SURVEY/RESUSCITATION
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General impression
Responsiveness/level of consciousness AVPU Chief complaint/Life-threats AIRWAY & BREATHING: 1. Assess airway 2. Assure adequate ventilation 3. Initiate appropriate oxygen therapy CIRCULATION: 1. Assess/Control major bleeding 2. Check pulse 3. Assess skin (either color, temperature, or condition Identifies patient priority and make treatment/transport decision |
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HISTORY TAKING
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ONSET - What the patient was doing when it started (active, inactive, stressed), whether the patient believes that activity prompted the pain, and whether the onset was sudden, gradual or part of an ongoing chronic problem.
PROVOCATION - Whether any movement, pressure (such as palpation) or other external factor makes the problem better or worse. This can also include whether the symptoms relieve with rest. QUALITY - This is the patient's description of the pain. Questions can be open ended ("Can you describe it for me?") or leading. Ideally, this will elicit descriptions of the patient's pain: whether it is sharp, dull, crushing, burning, tearing, or some other feeling, along with the pattern, such as intermittent, constant, or throbbing. RADIATION - Where the pain is on the body and whether it radiates (extends) or moves to any other area. This can give indications for conditions such as a myocardial infarction, which can radiate through the jaw and arms. Other referred pains can provide clues to underlying medical causes. SEVERITY - The pain score (usually on a scale of 0 to 10). Zero is no pain and ten is the worst possible pain. This can be comparative (such as "... compared to the worst pain you have ever experienced") or imaginative ("... compared to having your arm ripped off by a bear"). If the pain is compared to a prior event, the nature of that event may be a follow-up question. TIME - How long the condition has been going on and how it has changed since onset (better, worse, different symptoms), whether it has ever happened before, whether and how it may have changed since onset, and when the pain stopped if it is no longer currently being felt. PAST MEDICAL HISTORY (AMPLE) - Allergies, Medications, Past Pertinent History, Last Oral Intake, Events leading to present illness |
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SECONDARY ASSESSMENT
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Assess affected body system - Cardiovascular, Pulmonary, Neurological, Musculoskeletal, Integumentary, GI/GU, Reproductive, Psychological/Social
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VITAL SIGNS
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1. Blood Pressure 2. Pulse 3. Respiratory Rate and Quality
State field impression of patient Interventions (verbalize proper interventions/treatment) |
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REASSESSMENT
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Demonstrates how and when to reassess the patient to determine changes in condition
Provides accurate verbal report to arriving EMS unit |
