Brady Book Ems Chapter 14. 12Th Edition

Front 1

Most important source of information about patient's condition is...

Back 1

what the patient can tell you

Front 2

Definition: Medical Patient

Back 2

a patient suffering from one or more medical diseases or conditions

Front 3

When the patient is awake and responsive, what do you obtain first?

Back 3

Patient's medical history

Front 4

What do you do after to finish the primary assessment?

Back 4

Secondary assessment

Front 5

Four parts of the secondary assessment

Back 5

1. HPI
2. Past Medical History
3. Physical Exam
4. Baseline Vital Signs

Front 6

What to do for a primary assessment of a medical patient that is responsive? Unresponsive?

Back 6

Responsive: Assure Airway
check pulse and skin

Unresponsive: ABCs, Suction, Adjuncts, Ventilate, Circulation

Front 7

What do you administer in a primary assessment?

Back 7

OXYGEN

Front 8

1st step of secondary assessment in a responsive patient... unresponsive?

Back 8

Responsive- History first, then exam

Unresponsive-- Exam first, then history at a faster pace

Front 9

What to you do after the physical exam and the history are completed?

Back 9

Baseline Vital Signs

Front 10

What do you do after you obtain the baseline vital signs?

Back 10

Transport

Front 11

What to you repeat or reassess during transport?

Back 11

Primary Assessment
Chief Complaint
Check interventions
Vital Signs

Front 12

How often do you reassess or repeat for a stable patient? unstable patient?

Back 12

Stable- every 15 minutes
unstable- every 5 minutes

Front 13

What does OPQRST stand for?

Back 13

Onset, Provokes, Quality, Radiation, Severity, Time

Front 14

List of steps taken for an unresponsive medical patient (4)

Back 14

Conduct a rapid physical exam
Baseline vital signs
OPQRST
Gather SAMPLE from bystanders or family

Front 15

True or False: Interview family and bystanders before the patient about the patient history

Back 15

False. Interview the patient

Front 16

One major purpose of talking to the patient is to find out his

Back 16

chief complaint

Front 17

What type of questions should you ask medical patients?

Back 17

Open-Ended questions

Front 18

List of steps for Examination of a Responsive Medical Patient

Back 18

1. OPQRST
2. SAMPLE
3. Physical Exam
4.Vital Signs
5. Interventions and Transport

Front 19

Definition of OPQRST

Back 19

Memory aid to get description of present illness

Front 20

Note:::: Onset- what were you doing when it started?
Provokes: What triggered the pain?
Quality: can you describe it to me?
Radiation: where is the pain? Does it spread?
Severity: How bad is the pain?
Time: When did the pain start? has it changed at all?

Back 20

...

Front 21

While taking a past medical history of a responsive patient, what should you ask?

Back 21

SAMPLE (but the S was part of the history of illness)

Front 22

When illness or other non traumatic conditions occur, there may be more than one system affected.
What could problems with the respiratory system affect?

Back 22

Cardiovascular system

Front 23

If there is a patient that is having difficulty breathing, you should inquire if the patient has what other two things? and what are these symptoms associated with?

Back 23

Fever/Chills, cough. pneumonia

Front 24

If a patient has an altered LOC, what two systems should you check out?

Back 24

endocrine and neurological systems

Front 25

Body System Exams: Where do you perform them on an unstable patient? Stable?

Back 25

Unstable- in the ambulance. stable- on scene

Front 26

What is the body exam(s) based on?

Back 26

The information you obtain in history

Front 27

What do you exam in a respiratory body exam? (3)

Back 27

Pedal and sacral edema
lung sounds
pulse oximetry

Front 28

What do you exam in a cardiovascular body exam? (8)

Back 28

Pulse
Skin
Blood Pressure
Orthostatic BP changes
JVD
Ankle Edema
Lung sounds
Oxygen Saturation

Front 29

What do you exam in a neurological body exam? (2)

Back 29

Pupils
Mental Status

Front 30

What do you exam in an endocrine body exam? (4)

Back 30

Blood Glucose
Skin
Breath Odor
Excessive Hunger, thirst or urination

Front 31

What are 3 specific diabetic history things to look over?

Back 31

Oral intake
Medication History/Use
Recent illness

Front 32

GI/GU specific history (3)

Back 32

Input/output amount and frequency
Question or observe bright red or digested blood in vomit, urine, or stool
Menstrual history and pregnancy where appropriate

Front 33

Body system exam for GI/GU (1)

Back 33

Palpation of abdominal quadrants

Front 34

What is FAST? when is it used?

Back 34

Face- does one side droop? (ask to smile)
Arms- can they hold both arms in front of them?
Speech- is it clear and understandable?
Test- Oxygen Saturation

in a neurological physical exam

Front 35

What do you exam in a body exam for an allergic complaint? (5)

Back 35

Stinger
Hives
Lung Sounds
Face and Neck Edema
Oxygen Saturation

Front 36

When performing a physical exam for a responsive patient, where does most of the useful information in medical patients come from?

Back 36

History

Front 37

Since an unresponsive patient cannot tell you what is wrong, what kind of exam do you do?

Back 37

Rapid physical exam

Front 38

In addition to the rapid trauma signs of injury, what other signs may you look for in a medical patient in the neck area? (2)

Back 38

JVD and medical identification devices

Front 39

In addition to the rapid trauma signs of injury, what other signs may you look for in a medical patient in the chest area? (1ish)

Back 39

Presence and equality of breath sounds

Front 40

In addition to the rapid trauma signs of injury, what other signs may you look for in a medical patient in the abdomen?

Back 40

Distention, firmness, or rigidity

Front 41

In addition to the rapid trauma signs of injury, what other signs may you look for in a medical patient in the pelvis?

Back 41

incontinence of urine or feces

Front 42

In addition to the rapid trauma signs of injury, what other signs may you look for in a medical patient in the extremities?

Back 42

PMS, Oxygen Saturation, and medical identification devices.

Front 43

Most commonly used medical identification devices

Back 43

Medical Alert Emblem

Front 44

How many people wear an identification device in the form of a necklace or wrist or ankle bracelet?

Back 44

over 1 million

Front 45

What is on the bracelet?

Back 45

On one side- star of life emblem
on the other side- patient's medical problem and phone number

Front 46

Note::: Remember to check the pupils of an unresponsive patient.

Back 46

.....

Front 47

2nd step in the unresponsive medical patient

Back 47

baseline vital signs

Front 48

3rd step in the unresponsive medical patient

Back 48

consider a request for ALS personnel

Front 49

4th step in the unresponsive medical patient

Back 49

take a HPI and past medical history

Front 50

6 questions to ask family, friends, or bystanders about the unresponsive patient

Back 50

What is the patient's name?
What happened?
Did you see anything else?
Does the patient complain of anything before this happened?
Does the patient have nay known illnesses or problems?
Is the patient taking any medications?

Front 51

When gathering a patient history, what type of sticker should you look for? where? what does this mean?

Back 51

Vial of Life sticker. main outside door, closest window to the main door, or the fridge door.
This means that patient info and medications can usually be found in the fridge

Front 52

Last step of the unresponsive medical patient

Back 52

Administer interventions and transport the patient