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31 Cards in this Set
- Front
- Back
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General Impression
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The initial, intuitive evaluation of the patient. The "view from the door".
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Primary Assessment
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Prehospital process designed to identify and correct life-threatening airway, breathing, and circulation problems.
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Steps of Primary Assessment
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Form a general impression
Stabilize cervical spine as needed Assess baseline mental status Assess and manage airway Assess and manage breathing Assess and manage circulation Determine priorities of care and transport |
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ABC's
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Airway, Breathing and Circulation. Problems found in these areas should be treated at once.
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AVPU
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Refers to a persons mental status.
Alert Verbal stimuli Painful stimuli Unresponsive |
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Alert
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An alert patient is awake, as evidence by opening eyes. May be oriented to person, place, time, and situation. May also be disoriented and confused.
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Verbal stimuli
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Patient appears to be sleeping but responds when spoken to. May respond by speaking, opening his eyes, moaning, or just moving. Note the level of his response.
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Painful stimuli
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If no response from verbal, painful stimuli may be used. May respond by waking up, speaking, moaning, opening eyes, or moving. Note the type of response.
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Unresponsive
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The patient is comatose and fails to respond to any noxious stimuli.
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Decerebrate
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Arms and legs extended
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Decorticate
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Arms flexed, legs extended
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Signs of inadequate breathing
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AMS, confusion, apprehension, or agitation
SOB while speaking Retractions (supraclavicular, suprasternal, intercostal) Asymmetric chest wall movement. Accessory muscle use. Cyanosis Audible sounds Abnormally rapid, slow, or shallow breathing. Nasal flaring |
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Respiratory Rates: Newborn
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Low Rate: 30
High Rate: 60 |
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Respiratory Rates: Infant (<1 year)
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Low Rate: 30
High Rate: 60 |
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Respiratory Rates: Toddler (1-2 years)
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Low Rate: 24
High Rate: 40 |
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Respiratory Rates: Preschooler (3-5 years)
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Low Rate: 22
High Rate: 34 |
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Respiratory Rates: School age (6-12 years)
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Low Rate: 18
High Rate: 30 |
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Respiratory Rates: Adolescent (13-18 years)
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Low Rate: 12
High Rate: 26 |
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Respiratory Rates: Adult (>18 years)
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Low Rate: 12
High Rate: 20 |
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Circulation assessment
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Evaluation of the pulse and skin and control of hemorrhage.
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Radial Pulse
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Found in the wrist. If present, suggests a systolic BP of at lest 80 mmHG
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Carotid Pulse
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If present, suggests a systolic BP of at least 60 mmHG
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Infant and children pulse rate should be palpatated where?
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Brachial artery. Between bicep and tricep.
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Normal Pulse Rate: Newborn
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Low Rate: 100
High Rate: 180 |
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Normal Pulse Rate: Infant (<1 year)
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Low Rate: 100
High Rate: 160 |
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Normal Pulse Rate: Toddlers (1-2 years)
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Low Rate: 80
High Rate: 110 |
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Normal Pulse Rate: Preschooler (3-5 years)
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Low Rate: 70
High Rate: 110 |
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Normal Pulse Rate: School age (6-12 years)
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Low Rate: 65
High Rate: 110 |
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Normal Pulse Rate: Adolescent (13-18)
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Low Rate: 60
High Rate: 90 |
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Normal Pulse Rate: Adult (>18 years)
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Low Rate: 60
High Rate: 100 |
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CAB
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Circulation
Airway Breathing Used when assessing a Pt that is possibly in cardiac arrest. |
