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9 Cards in this Set
- Front
- Back
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What is the sequence for when the scene assessment?
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P - PPE (put this on)
H - Hazzards - do I see, hear or smell anything that could be of danger to me, my partner, my patient and any bystanders? *Ask specific questions based on the dispatch information, if I do not see anything then ask if there are bystanders that can give me more information. Be wary with unconscious patients especially multiple victims. ** mitigate hazzards and make sure that this is done before patient contact is made and proceeding further S - Scene time P - Confirm number of patients E - Environment inside and out.. If cold then prepare unit / if hot then prepare unit R - Call for backup resourses M - Determine the nature of the illness or the mechanism of injury, talk to a bystander / family member if available |
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What is the general impression and how is it made?
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As I approach my patient I am forming a general impression to determine how sick or injured the patient might be...
I am looking for... Where are they located Positioning Work of breathing Skin colour Are they tracking me / are they aware of my presence? Anything around them such as drugs, alcohol, room condition. Clothes, do they look after themselves |
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What is the most important step to be taken after the general impression?
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Rule out C-spine control based on the history of the incident gathered so far.
If c-spine is needed then as approach the patient say don't move your head or neck my partner is going to hold your head still. |
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What follows C-spine control?
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LOC - see how the patient responds to questioning and then state what their level of consciousness is..
Introduce yourself and based on the response they are either Alert or Verbal If there is no response then squeeze the shoulder? If responds to pain then P If no response then Unresponsive... |
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What are the ABC's and how are they managed?
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Airway - Is the airway patent? Do I hear anything when the patient breaths to suggest that there could be a problem?
If so then deal with it. Unresponsive snoring then OPA, gurgling suction Breathing? Rate rhythm and quality, looking for chest rise and expansion and feeling for air movement. If inadequate then deal with it. Might need bagging. If not then high flow oxygen. Circulation? Is their a pulse what is the rate rhythm and quality. Is it regular? Is there a radial pulse or can you only get a carotid pulse? |
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What is D and E
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D - Deadly wet check
E - Skin condition |
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What is it important to determine at the end of the initial assessment?
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Transport decision! Load and Go or stay and play and why this decision has been made!
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What are the magic words ACP wants to hear when you delegate things in a medical scenario?
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As long as it will not delay scene time...
Then delegate -Vitals -History -ECG -IV guage, NS, tkvo and I check the 3C's and E and so does my partner... |
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How should a pelvic fracture be managed in a trauma scenario for ACP?
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Use the scoop...
Lay the pelvic sling over the top of the scoop. Scoop the patient... Do up the pelvic sling... Check the patients back Place the patient in a long backboard... remove the scoop Secure patient to the backboard Load onto the stretcher and into the ambulance |
