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75 Cards in this Set
- Front
- Back
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What are the parts of a medical patient assessment?
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BSI
SCENE SIZE UP INITIAL ASSESSMENT FOCUSED HISTORY AND PHYSICAL EXAMINATION/RAPID MEDICAL ASSESSMENT ON-GOING ASSESSMENT |
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What is BSI?
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Body Substance Isolation
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What is the SCENE SIZE-UP?
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Steps taken by EMS providers when approaching the scene of an
emergency call; determining scene safety, taking BSI precautions, noting the mechanism of injury or patient’s nature of illness, determining the number of patients, and deciding what, if any additional resources are needed including Advanced Life Support. |
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What are the parts of the SCENE SIZE UP?
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Determine if scene safe
Determine what caused the injury and/or illness Determine number of patients Request more help if necessary C-spine |
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What is step one in the SCENE SIZE-UP?
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Determine if scene safe
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What is the step two in the SCENE SIZE-UP?
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Determine what caused the injury and/or illness
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What is the step three in the SCENE SIZE-UP?
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Determine number of patients
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What is step four in the SCENE SIZE-UP?
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Request more help if necessary
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What is step five in the SCENE SIZE-UP?
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C-spine
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What is the INITIAL ASSESSMENT?
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The process used to identify and treat life-threatening problems,
Assessment concentrating on Level of Consciousness, Cervical Spinal Stabilization, Airway, Breathing, and Circulation. You will also be forming a General Impression of the patient to determine the priority of care based on your immediate assessment and determining if the patient is a medical or trauma patient. The components of the initial assessment may be altered based on the patient presentation. |
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What is step one in the INITIAL ASSESSMENT?
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General Impression
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What is the general impression?
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Mechanism of injury or nature of illness
· Age, sex, race · Find and treat life threatening conditions (any obvious problems that may kill the patient within seconds). Problems with Airway, Breathing, or Circulation · Verbalize general impression of patient |
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What is step two in the INITIAL ASSESSMENT?
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Determine responsiveness/LOC
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What do you use to measure responsiveness/LOC?
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AVPU
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What is step three in the INITIAL ASSESSMENT?
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Determine the chief complaint, and identify obvious life threats
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What is the chief complaint?
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The reason they called you...
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How do you identify life threats?
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???
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What is step four in the INITIAL ASSESSMENT?
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ABCs
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What are the main things you do when assessing the airway and breathing?
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Assess airway and breathing (Make sure airway is open, and patient is breathing)
Assure adequate ventilation Give appropriate amount of oxygen |
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What are the main things you do when assessing circulation?
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Check and control major bleeding
Check pulse Check skin |
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When you are checking the skin, what are the main things you are checking?
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Color
Temperature Condition |
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What is the fifth step of the INITIAL ASSESSMENT?
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Identify priority patients
Decide how to transport patients |
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What do you use to get signs and symptoms?
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OPQRST
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What is the FOCUSED HISTORY AND PHYSICAL EXAM/RAPID MEDICAL ASSESSMENT?
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FOCUSED HISTORY AND PHYSICAL EXAM - In this step you will reconsider the mechanism of injury, determine if a
and Rapid Trauma Assessment or a Focused Assessment is needed, Physical Exam assess the patient’s chief complaint, assess medical patients complaints and signs and symptoms using OPQRST, obtain a baseline set of vital signs, and perform a SAMPLE history. The components of this step may be altered based on the patient’s presentation RAPID MEDICAL ASSESSMENT - This is performed on medical patients who are unconscious, confused, Assessment or unable to adequately relate their chief complaint. This assessment is used to quickly identify existing or potentially life-threatening conditions. You will perform a head to toe rapid assessment using DACP-BTLS, obtain a baseline set of vital signs, and perform a SAMPLE history. |
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What are the parts of the FOCUSED HISTORY AND PHYSICAL EXAM/RAPID MEDICAL ASSESSMENT?
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History of Present Illness
Past Medical History Perform Focused Physical Exam Vital Signs Diagnostics (ECG, et cetera) Field Impression of Patient Treatment Plan and Interventions Rethink Transport |
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What do you use to get "History of Present Illness" (Signs and Symptoms)?
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OPQRST
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What does "OPQRST" stand for?
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Onset
Provocation Quality Radiation Severity Time |
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Other than"OPQRST", what do you do as part of the "History of Present Illness"?
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Clarify questions of associated signs and symptoms as related to "OPQRST".
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What do you use to get current and past patient history?
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SAMPLE
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What does SAMPLE stand for?
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Signs and Symptoms
Allergies Medications Past pertinent history Last oral intake Events leading to present illness/injury |
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What is the second step in the FOCUSED HISTORY AND PHYSICAL EXAM/RAPID MEDICAL ASSESSMENT?
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Past medical history
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What is the third part of the FOCUSED HISTORY AND PHYSICAL EXAM/RAPID MEDICAL ASSESSMENT?
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Focused Physical Exam
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What do you do during the Focused Physical Exam?
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Check affected body part and/or system if appropriate, and complete rapid medical assessment?
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What are the major things you check during a Focused Physical Exam?
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Cardiovascular system
Pulmonary system Neurological system Musculoskeletal system Integumentary system Gastrointestinal/Genitourinary Reproductive system Psychological/Social |
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What is the integumentary system?
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Skin
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How do you check each system?
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???
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What do you use to get current and past patient history?
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SAMPLE
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What is the next step in the Focused Physical Exam?
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Vital Signs
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What are the vital signs?
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Responsiveness/LOC (Use AVPU)
Breathing rate AND quality Heart Rate Blood Pressure Pulse Ox BGC Pain Level (1-10) |
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What does SAMPLE stand for?
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Signs and Symptoms
Allergies Medications Past pertinent history Last oral intake Events leading to present illness/injury |
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What is the second step in the FOCUSED HISTORY AND PHYSICAL EXAM/RAPID MEDICAL ASSESSMENT?
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Past medical history
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What is the third part of the FOCUSED HISTORY AND PHYSICAL EXAM/RAPID MEDICAL ASSESSMENT?
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Focused Physical Exam
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What do you do during the Focused Physical Exam?
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Check affected body part and/or system if appropriate, and complete rapid medical assessment?
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What are the major things you check during a Focused Physical Exam?
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Cardiovascular system
Pulmonary system Neurological system Musculoskeletal system Integumentary system Gastrointestinal/Genitourinary Reproductive system Psychological/Social |
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What is the integumentary system?
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Skin
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How do you check each system?
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???
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What is the next step in the Focused Physical Exam?
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Vital Signs
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What are the vital signs?
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Responsiveness/LOC (Use AVPU)
Breathing rate AND quality Heart Rate Blood Pressure Pulse Ox BGC Pain Level (1-10) |
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What is the next step in the Focused History and Physical Exam/Rapid Medical Assessment?
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Diagnostics
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What do you do in Diagnostics?
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???
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With Diagnostics, what must you include for dyspnea and chest pain?
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Application of ECG
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What is the next step in the Focused History and Physical Exam/Rapid Medical Assessment?
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Field Impression
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What is the field impression?
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???
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What is the next step in the Focused History and Physical Exam/Rapid Medical Assessment?
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Treatment plan and appropriate interventions
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What is the next step in the Focused History and Physical Exam/Rapid Medical Assessment?
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Rethink transport decisions
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What is the next step in the Medical Patient Assessment?
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ON-GOING ASSESSMENT
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What are the parts of the ON-GOING ASSESSMENT?
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Repeat initial assessment
Repeat vital signs Evaluate patient's response to treatments Repeat focused assessment |
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What is the first step in the ON-GOING ASSESSMENT?
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Repeat initial assessment
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What is the second step in the ON-GOING ASSESSMENT?
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Repeat vital signs
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What is the third step in the ON-GOING ASSESSMENT?
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Evaluate patient's response to treatments
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What is the fourth step in the ON-GOING ASSESSMENT?
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Repeat focused assessment
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How many things are "CRITICAL CRITERIA" in the MEDICAL PATIENT ASSESSMENT?
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Eleven
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What is the first CRITICAL CRITERIA in the MEDICAL PATIENT ASSESSMENT?
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Failure to start or call for transport in fifteen minutes
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What is another CRITICAL CRITERIA in the MEDICAL PATIENT ASSESSMENT?
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BSI
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What is another CRITICAL CRITERIA in the MEDICAL PATIENT ASSESSMENT?
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Scene safety
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What is another CRITICAL CRITERIA in the MEDICAL PATIENT ASSESSMENT?
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Oxygen
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What is another CRITICAL CRITERIA in the MEDICAL PATIENT ASSESSMENT?
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Ventilation
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What is another CRITICAL CRITERIA in the MEDICAL PATIENT ASSESSMENT?
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Failure to discover and treat problems associated with airway, breathing, hemorrhage, and/or shock
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What is the next CRITICAL CRITERIA?
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Failure to know when a patient needs to be transported immediately, and when it is appropriate to continue assessment and treatment at the scene
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What is another CRITICAL CRITERIA?
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Does other detailed or focused history or physical exam before assessing and treating threats to airway, breathing, and/or circulation
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What is another CRITICAL CRITERIA?
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Failure to figure out patient's primary problem
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What is another CRITICAL CRITERIA?
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Does a dangerous and/or inappropriate treatment
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What is another CRITICAL CRITERIA?
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Failure to provide spinal protection when necessary
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Where can you find good definitions for patient assessment?
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http://www.health.state.ny.us/nysdoh/ems/pdf/srgpadefinitions.pdf
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What is a focused history and physical exam for medical?
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This is used for patients with a medical complaint who are conscious,
and Physical able to adequately relate their chief complaint to you, and have no Exam – Medical life-threatening conditions. This assessment would be used in place of your Rapid Medical Assessment. You should focus on the patient’s chief complaint using OPQRST, obtain a baseline set of vital signs, and perform a SAMPLE history. |
