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30 Cards in this Set
- Front
- Back
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SMNAS |
1st step for medical and trauma patient: S-Scene (Scene safety and BSI) M- Mechanism of injury or natural illness N- Number of Patients A- Additional Resources S- Spinal precautions |
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I L C |
2nd step for medical and trauma.
I- Impression (Impression of patient) L- Level (level of conciousness using AVPU)C- Chief (Chief complaint) using AVPU) conciousness using AVPU)C- Chief (Chief complaint) C- Chief (Chief complaint) |
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A B C |
3rd step for medical and trauma.
A- Airway (Airway assessment, patent or non patent) Insert Airway adjacent as necessary B- Breathing- Assessment: Rate, Rythem, Quality) Initiates Oxygen as necessary Breathing with adequate ventilations Manages any injury that would impair chest wall integrity C- Circulation- Check pulse Major bleeding Skins, color, temp and condition Initiates shock mgmt. With position, keep warm |
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A I R |
Assess Intervene Reassess |
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H H. ( Double H ) |
5th step for medical patient H- History using OPQRST Spec? Regarding OPQRST H- History Using Sample |
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I.D. identifies |
4th step for both Medical and Trauma Patient
Stay and play or load and go (stay a little longer if able to gather more information, or load up and get to the hospital) Based upon GCS |
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S V I I |
6th step for Medical S- Secondary Pertinent negatives V- Vitals (Take Vitals... BERPS pulse, BP, Resp, eyes, skins (already done) I- Impression (diagnosis) I- Intervention (treatment) |
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R R |
7th step for medical R- Reassessment (Reassess Vitals and LOC using GCS) R- Report (Turn over Report) |
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S S V I R |
5th step for Trauma only
S- SAMPLE S- Secondary... Head to toe V- Vital signs I- Injuries (manage Secondary Injuries ) R- Reassessment (repeat Vital and LOC as necessary) |
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Scene Size up |
Defined as the initial evaluation of a scene and has five components: 1. BSI, 2.Scene Safety, 3. Identify the call( Medical or Trauma), 4. Number of Patients, 5. Need for additional resources |
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BSI |
Body Substance Isolation. Gloves are the minimum PPE required. |
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Scene Safety |
Defines as the assessment of a scene to ensure the well being of the 1.EMT-B, 2.partners, and 3. their patients and bystanders. |
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Identify the call |
Determine the nature of the problem ( Chief complaint) Medical or Trauma |
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Medical |
Problem brought on by illness or by substance or condition that affect the body. NOI (Nature of Illness) |
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Trauma |
A physical injury or wound caused by an external force or violence. MOI (Mechanism of Injury) *Important |
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Number of patients |
Determines How many ambulances are you going to need. |
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Assess Breathing |
Remember 12, 15, 24 than double them Adult 12-24 BPM Child 15-30 BPM Infant 24-48 BPM |
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Assess Circulation |
Over the age of 1 Check the radial pulse, under the age of 1 check the brachial pulse. If Radial is not found check the carotid artery. |
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Radial pulse |
If radial pulse is found it means patient has at least 80 mm mercury pumping blood (radial is on wrists) |
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Brachial pulse |
It means at least 70 mm of mercury is pumping blood (on upper arm, tendon of biceps) |
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Carotid pulse |
Means at least 60 mm of mercury are pumping blood (pulse found on neck) |
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OPQRST |
O- Onset P- Provocation (what made the problem worse) Q- Quality (Patient describes pain to you) R- Region/ Radiation (Tell me where it hurts and where it radiates to. Also for SD Reaccurance and Releif- (what did you do to make it feel better) S- Severity (what is your pain level 0-10: 0 being no pain to 10 being worst pain you've ever felt) T- Time (How long has it been going on) All subjective! Patients lie and exaggerate |
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SAMPLE |
S- Symptoms A- Allergies M- Medications ( What Medications is patient taking?) P- Pertinent medical history- (medical history recently Pertinent to what we're dealing with) L- Last Oral Intake (what's the last thing they ate?) E- Events leading up to the present illness |
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Assess Baseline Vitals Vitals |
Look for trends in the Vitals Breathing, Pulse, Skin, Pupils, BP, |
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Vitals- Breathing |
Respitory Rate, do for 30 seconds and multiply it by 2 |
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Vitals, Pulse |
Checking how many BPM's for 15 seconds than multiply by 4, or the DOUBLE DOUBLE Method. |
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Vitals, Skin |
Checking for (Color, Temp, and Condition) |
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Vitals, Blood Pressure BP |
Systolic pressure over Dystolic pressure. Systolic pressure means how much pressure your heart is pumping upon contraction. And Dystolic pressure is the resting, what's left in the arteries. (Difference between systolic and Dystolic is the pulse pressure) |
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Recovery Position |
Position patient (Left lateral position, reason being is stomach is on left side, if you do right lateral position patient will vomit.) |
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Vitals, Pupils |
PEARL- Pupils Equal Activity Rendered by Light |
