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11 Cards in this Set

  • Front
  • Back

Scene Size-Up

1. BSI / PPE


2. Scene safety?


3. Medical or Trauma? NOI or MOI?


4. # of patients


5. Additional resources needed?


6. Assess need for c-spine precautions

Primary Assessment

1. General impression


2. Chief Complaint


3. Mental Status


4. Airway


5. Breathing


6. Circulation (pulse, CTC, bleeding)


7. Disability


8. Expose


9. Determine transport priority

Secondary Assessment (responsive medical)

1. SAMPLE & OPQRST


2. Focused physical exam


3. Baseline vitals


4. Transport


5. Consider detailed exam

Secondary Assessment (trauma and unresponsive medical)

1. Focused or Rapid head-to-toe physical exam


2. Baseline vitals


3. SAMPLE & OPQRST


4. Transport


5. Consider detailed exam

SAMPLE

Signs / Symptoms


Allergies


Medication


Pertinent past medical history


Last oral intake


Events leading up to problem

OPQRST

Onset- what were you doing when this problem began?


Provokes/Palliation - does anything make it better/worse?


Quality - describe what you're feeling


Radiation/Region- where is the pain? Does it go anywhere else?


Severity - pain scale of 1-10?


Time - when did it start? How long g is each episode? Etc.

Ongoing Assessment

1. Repeat primary assessment


2. Repeat vitals to look for trending


3. Repeat secondary assessment (as needed)


4. Check any interventions taken, consider additional interventions


5. Document everything

DCAP-BTLS (injuries to look for)

Deformities


Contusions


Abrasions


Punctures / Penetrations


Burns


Tenderness


Lacerations


Swelling

Vitals for normal adult

Systole BP: 90-140 mmHG


Diastole BP: 60-90 mmHG


Pulse: 60-100 bpm


Resps: 12-20 bpm


PEARRL


CTC: warm, pink, dry (W/P/D)

PEARRL

Pupils Equal And Round, Reactive to Light

Mental Status (AVPU)

Alert & Oriented X __ (up to 4: person, place, time, event)


Verbal stimulus


Painful stimulus


Unresponsive