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28 Cards in this Set
- Front
- Back
What are the elements of scene size up?
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Scene Safety
BSI Number of Patients Resources Available |
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What are the elements of the initial assessment?
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General Impression
Responsiveness Chief Complaint/Life Threats C-Spine as needed ABC |
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What items are required to be checked or performed during the ABC phase of the initial assessment?
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Airway - Open and assess airway
Breathing - Assess breathing, Assure adequate ventilation, Administer Oxygen as required, Manage injuries affecting the airway Circulation - Check pulse, Assess skin color/temp/condition, Control major bleeding, Shock management, Prioritize patients and make transport decision |
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Rapid Trauma Assessment - What items are checked concerning the patients head?
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Palpate for crepitus
Inspect for bleeding/control major bleeding Inspect for burns/Calculate burn percentage |
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Rapid Trauma Assessment - What items are checked concerning the patients neck?
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Check for trachea deviation
Check JVD Palpate cervical spine Inspect for bleeding/control major bleeding Inspect for burns/Calculate burn percentage |
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Rapid Trauma Assessment - What items are checked concerning the patients chest?
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Check for penetrations/Seal sucking chest wound
Palpate chest-looking for flail chest/stabilize flail chest Inspect for bleeding/control major bleeding Inspect for burns/Calculate burn percentage |
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Rapid Trauma Assessment - What items are checked concerning the patients abdomen/pelvis?
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Inspect for tenderness and or rigidity
Check pelvis stability/crepitus Inspect for bleeding/control major bleeding Inspect for burns/Calculate burn percentage |
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Rapid Trauma Assessment - What items are checked concerning the patients lower extremities?
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Palpate for deformities-stabilize then splint
Inspect for bleeding/control major bleeding Inspect for burns/Calculate burn percentage |
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Rapid Trauma Assessment - What items are checked concerning the patients upper extremities?
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Palpate for deformities-stabilize then splint
Inspect for bleeding/control major bleeding Inspect for burns/Calculate burn percentage |
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Rapid Trauma Assessment - What items are checked concerning the patients posterior thorax?
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Check chest for penetrations/seal sucking chest wound
Palpate midline spine Inspect for bleeding/control major bleeding Inspect for burns/Calculate burn percentage |
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Rapid Medical Assessment - What items are checked concerning the patients head?
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Pupils PERRL
Mouth symmetry |
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Rapid Medical Assessment - What items are checked concerning the patients neck?
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JVD
Medic alert necklace |
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Rapid Medical Assessment - What items are checked concerning the patients chest?
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Auscultate lung fields
Inspect for medication patches Palpate for implanted medical devices |
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Rapid Medical Assessment - What items are checked concerning the patients abdomen/pelvis?
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Inspect for tenderness, rigidity, or distention
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Rapid Medical Assessment - What items are checked concerning the patients lower extremities?
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Palpate distal pulses
Inspect ankle for medic alert bracelet Check for edema |
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Rapid Medical Assessment - What items are checked concerning the patients upper extremities?
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Inspect for medic alert bracelet
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What information is gathered and or decided during the focused history and medical exam?
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OPQRST
SAMPLE Pulse rate/rhythm/quality Respiratory rate/rhythm/quality Blood pressure Diagnostics Field impression of patient Treatment plan and calls for appropriate intervention Transport decision re-evaluated |
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What items occur during the ongoing physical exam?
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Repeat initial assessment
Repeat vital signs Evaluation of response to treatment Repeat focused assessment regarding chief complaint or injuries |
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Detailed Physical Exam - What items are checked concerning the patients head?
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Inspect mouth, nose, and facial area
Inspect and palpates scalp and ears Assess pupils PERRL DCAPBTLS |
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Detailed Physical Exam - What items are checked concerning the patients neck?
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Check position of trachea
JVD DCAPBTLS |
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Detailed Physical Exam - What items are checked concerning the patients chest?
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Palpate spine
Inspect chest Palpate chest Auscultate lung fields DCAPTBTLS |
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Detailed Physical Exam - What items are checked concerning the patients abdomen?
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Inspects and palpates abdomen
Assess pelvis Assess genitalia/perineum as needed DCAPBTLS |
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Detailed Physical Exam - What items are checked concerning the patients lower extremities?
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Inspects, palpates, and assesses motor, sensory, and distal circulation functions
DCAPBTLS |
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Detailed Physical Exam - What items are checked concerning the patients upper extremities?
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Inspects, palpates, and assesses motor, sensory, and distal circulation functions
DCAPBTLS |
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Detailed Physical Exam - What items are checked concerning the patients posterior thorax, lumbar, and buttocks?
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Inspects and palpates posterior thorax
Inspects and palpates lumbar and buttocks DCAPBTLS |
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What does OPQRST stand for and what phase of patient assessment is it found?
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Onset
Provocation Quality Radiation Severity Time Found in focused history |
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What does SAMPLE stand for and what phase of patient assessment is it found?
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Signs and symptoms
Allergies Medications Past medical history Last oral intake/LMP Events leading up to present condition Found in the Focused history |
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What does DCAPBTLS stand for and what phase of patient assessment is it found?
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Deformities
Contusions Abrasions Punctures/Penetrations Burns Tenderness Lacerations Swelling Found in the detailed physical exam |