Patient Assessment

Front 1

FIRST THING TO DO

Back 1

BSI

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Front 2

THEN

Back 2

Scene size-up

Front 3

Scene Size-up

Back 3

PENMAN

Personal/patient safety, Enviro Hazards, Number of patients, MOI, NOI, Additional Resources

Front 4

Additional Resources

Back 4

adittional BSI, Extra Personel, CSpine, spinal imobalization

Front 5

Consider what next?

Back 5

General Impression, imminent life threat, major disabilities

Front 6

Establish Repport

Back 6

Introduce self, ask name/age/location/date (A&O x3), Cheif complaint?, permission to treat, use empathy, positive body language.

Front 7

AVPU

Back 7

Alert, verbal, pain, unresponsive

Front 8

What next?

Back 8

ABC's

Front 9

A

Back 9

Airway: patent/obstructed.

may need adjunct, may need suction, may need immediate transport if cannot be opened.

Front 10

B

Back 10

Breathing: Rate, Rhythem, Quality, Tidal volume

Rapid auscultation if difficulty or short of breath,

O2 if needed, use Positive pressure vent if needed, immediate transport if unable to properly ventilate.

Front 11

C

Back 11

Circulation: Pulse: Rate/Rhythm/Quality; Skin: color, temp, moisture; uncontrolled external bleed; cap refil if needed

Control bleeds, place in shock position if signs of hypoperfusion, cardiac monitor/aed if indicated, Immediate transport if uncontrollable bleeding.

Front 12

Then D

Back 12

Disability: abnormal body presentation, neuro defects, body position

Front 13

Then E

Back 13

Expose area

Front 14

Then F

Back 14

Formulate field impression

Front 15

ID what

Back 15

Identify priority patient and determine type of sec assess: Rapid med/trauma; comprehensive Med/Trauma

Front 16

Determine?

Back 16

Transport: level, mode, destination

Front 17

START THE WHAT?

Back 17

Secondary Assessment

Front 18

First you perform

Back 18

Rapid med/trauma assessment for critical situations

Head, neck, chest, abdomen, pelvis, lower ext, upper ext, back.

Front 19

THEN WHAT?

Back 19

SAMPLE

Front 20

S

Back 20

signs/symptoms

-OPQRST

Onset: cause; Provoke: makes worse, Palleviate makes better, position found in; Quality; Region/Radiation/Recurrence; Severity; Time began and length.

Front 21

A

Back 21

Allergies: food, meds

Front 22

M

Back 22

Medication

Front 23

P

Back 23

Pertinent history: Age, weight, under a physicians care?, pertinent medical/surgical history

Front 24

L

Back 24

Last Oral intake, did you keep it down.

Front 25

E

Back 25

Events leading to injury or illness

Front 26

Assess what

Back 26

Vitals: ABC's in depth

Front 27

Cardiac

Back 27

rate/rhythm/quality

Front 28

Resp

Back 28

Rate/Rhythm/Quality/Tidal Volume, breath sounds, O2 sat if possible.

Front 29

BP

Back 29

Blood pressure

Front 30

Skin signs

Back 30

Color, temp, moisture, tugor

Front 31

Pain

Back 31

pain

Front 32

Then examine what?

Back 32

Neurological status

Front 33

Neurological status- Comprehensive orientation level

Back 33

Person/Place/Time

Front 34

Neuro Stat - Glasgow

Back 34

Eyes/Verbal/Motor

Front 35

Neuro Stat - Pupils

Back 35

equal, size, reactive to light, PERRL (Pupils equals round reactive to light), movement if needed

Front 36

Neuro Stat - Extremities

Back 36

Circculation, movement, Strength, Sensation

Front 37

Expose

Back 37

area and perform specific to painful area

Front 38

Re-evaluate

Back 38

Transport decision to appropriate facility

Front 39

Perform

Back 39

Detailed physical exam: MED - on scene, Trauma - en route