Patient Assessment

Front 1

First thing's first:

Back 1

BSI!

Front 2

What are the steps of a Scene Size Up?

Back 2

1) Assess scene safety

2) Determine mechanism of injury

3) Determine number of patients

4) Call for additional resources

5) C-spine precautions

Front 3

The scene is safe and you are approaching the patient. What is the first thing you do?

Back 3

Determine responsiveness/LOC.

State it using the AVPU scale.

Front 4

You've determined the patient's LOC. What do you do next?

Back 4

Determine chief complaint/identify life threats

Front 5

You've determined patient's LOC and chief complaint-- what is the next thing you do?

Back 5

Assess airway for patency

Front 6

What are you looking for when you're assessing the airway?

Back 6

Assessing for patency, noting any gurgling, snoring, or stridor.

Front 7

You note gurgling, snoring, or stridor when assessing the patient's airway. What do you do?

Back 7

Manage airway as appropriate, providing necessary BLS maneuvers and/or adjuncts.

Front 8

After assessing the airway, what do you do?

Back 8

Assess breathing. Determine if respirations are adequate or inadequate by assessing rate and tidal volume.

Front 9

While assessing breathing, the patient appears short of breath. What do you do?

Back 9

Auscultate lung sounds

Front 10

If respirations are inadequate, what do you do?

Back 10

Initiate appropriate ventilation and/or oxygen therapy

Front 11

Airway and Breathing have been taken care of-- what's next?

Back 11

Assess circulation (staying approximate rate, strength, and rhythm)

Front 12

What else are you checking while assessing circulation?

Back 12

Skin signs. Stating the color, temperature, and moisture.

Front 13

What do you do after the ABC's have been taken care of?

Back 13

Assess and control severe bleeding

Front 14

You've taken care of the patient's ABC's and controlled severe bleeding, what do you do next?

Back 14

Initiate shock management, if needed

Front 15

What is the final step of he primary assessment?

Back 15

Determine patient priority (low or high) based on GCS.

Front 16

What do you do if the patient is high priority?

Back 16

Package the patient as appropriate and initiate immediate rapid transport

Front 17

What are the kill zones?

Back 17

Head, neck, chest, abdomen, pelvis, femurs, and posterior

Front 18

What do you do after the primary assessment and rapid (or focused) assessment?

Back 18

Obtain baseline vitals

Front 19

You've obtained baseline vitals, what's next?

Back 19

Manage injuries that have not already been addressed

Front 20

You've taken vitals and managed injuries, what do you do before your secondary assessment?

Back 20

SAMPLE history!

Front 21

Head:

Back 21

Signs of trauma

Front 22

Face:

Back 22

Signs of trauma, symmetry of facial muscles, crepitus

Front 23

Eyes:

Back 23

Signs of trauma, pupil size, equality, reactivity to light, pink moist conjunctiva

Front 24

Nose:

Back 24

Signs of trauma, drainage, singed nostrils, flaring

Front 25

Mouth:

Back 25

Signs of trauma, broken teeth, foreign body, blood, pink moist mucosa

Front 26

Ears:

Back 26

Signs of trauma, drainage

Front 27

Neck:

Back 27

Signs of trauma, jugular vein distention, tracheal deviation, accessory muscle use, stoma, medical alert jewelry

Front 28

Chest:

Back 28

Signs of trauma, subcutaneous emphysema, paradoxical movement, equal chest rise and fall, lung sounds, scars

Front 29

Abdomen:

Back 29

Signs of trauma, distention, rigidity, guarding, rebound tenderness, scars

Front 30

Pelvis:

Back 30

Signs of trauma, incontinence

Front 31

Legs:

Back 31

Signs of trauma, track marks, medical alert jewelry, distal CSM

Front 32

Arms:

Back 32

Signs of trauma, track marks, medical alert jewelry, distal CSM

Front 33

Back:

Back 33

Signs of trauma, step off, paradoxical movement, scars

Front 34

What do you do after you've completed the secondary assessment?

Back 34

Manage secondary injuries

Front 35

If you find an injury halfway through your secondary assessment?

Back 35

Stop the assessment and treat

Front 36

What does the reassessment consist of?

Back 36

1) Reassessing mental status and ABC's

2) Obtain second set of vitals and compare to baseline

3) Evaluate effectiveness of your treatment and adjust as appropriate

Front 37

Time has ended-- now what?

Back 37

1) Provide verbal hand-off report, including GCS

2) State impression of patient condition

3) Provide rationale basis of impression

4) State other possible causes of patient presentation