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10 Cards in this Set
- Front
- Back
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Step 1)
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BSI!
(critical fail if missed) |
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What comes after BSI?
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Scene size up
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What are the steps in scene size up?
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1) Scene safe? (critical fail if missed)
2) Mechanism of injury/Nature of illness 3) Number of patients 4) Additional help needed? CALL FOR ALS! 5) Consider/apply spinal stabilization |
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What comes after scene size up?
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Initial assessment
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What are the steps in initial assessment?
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1) Verbalize general impression of the patient
2) Determines level of consciousness (AVPU) 3) Determines chief complaint/apparent life threats ABCs! 4) Airway and breathing: a) assess b) initiate appropriate oxygen therapy c) ensure adequate ventilation 5) Circulation: a) assess and control major bleeding b) assess pulse c) assess skin color, temperature, condition TREAT FOR SHOCK! If you don't, it's a critical fail. 6) Identify priority patient/make transport decision (load and go) |
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What comes after initial assessment?
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Focused history and physical exam/rapid assessment
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What are the steps in the focused history and physical exam/rapid assessment
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1) Determine OPQRST (history of present illness) and interventions already underway -- ask questions according to the illness
For example: Altered mental status: Description of episode, onset, duration, associated symptoms, evidence of trauma, seizures, fever... Allergic reaction: History of allergies? What were you exposed to? Poisoning: What substance? Time of exposure? How much consumed? Duration of consumption? Weight? Obstetrics: Are you pregnant? How long? Pain or contractions? Bleeding or discharge? Do you feel the need to push? Last period? Crowning? 2) SAMPLE history 3) ASSESSMENT (Responsive=focused assessment, unresponsive=rapid assessment) 4) Baseline vitals 5) CALL MEDICAL CONTROL FOR INSTRUCTIONS 6) Interventions 7) Transport 8) Verbalizes consideration for completing detailed physical examination |
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What comes after the focused history and physical exam/rapid assessment?
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Ongoing assessment
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What are the steps to the ongoing assessment?
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1) Repeat initial assessment
a) general impression b) AVPU c) chief complaint/life threats d) ABCs 2) Take another set of vitals 3) Repeat focused assessment |
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What are the critical fails?
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1) Didn't take BSI precautions
2) Didn't determine scene safety 3) Didn't contact medical direction, follow medical direction, or follow protocols for interventions 4) Did not administer oxygen with proper mask 5) Did not find or manage problems with ABCs or treat for shock 6) Did not differentiate patient's need for transportation vs. continued assessment on-scene 7) Did not ask questions about present illness 8) Administered an inappropriate assessment |
