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27 Cards in this Set
- Front
- Back
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Name the 6 Elements of Patient Assessment
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Scene Size Up
Initial Assessment Focused history Assessment and physical exam - Trauma Focused physical exam - Medical Detailed Assessment Ongoing Assessment |
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Name the 6 components of the Scene size-up
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BSI
Scene Safety MOI - Trauma NOI - Medical Number of Patients Need for additional help |
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Name the 4 components of the initial assessment
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General Impression
Assessing Mental Status - C-Spine if needed ABC = Airway, Breathing, Circulatory Identify Priority of Patient |
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List 9 Significant MOI injuries
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Ejection form a vehicle
Death of another passenger Fall of over 20 Feet, or 3 times the patients height Rollover Vehicle \ Motorcycle crash High Speed Vehicle Collision (45mph) Patient struck by a vehicle Unresponsive or altered Mental Status Penetrating injuries to the Head,Neck,Chest,Abdomen |
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What are the 4 penetrating injuries that are considered significant MOI
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Head
Neck Chest Abdomen |
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Name two hidden injuries experienced in car crashes that cause blunt trauma
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Seat Belts
Airbags |
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What are the special considerations for Children considered as significant MOI
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Fall of over 10 feet of 3 times their height
Medium Speed vehicle collision (25 MPH) Bicycle collision |
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How do you handle a Trauma patient with no significant MOI
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Do a focused trauma assessment of the specific injury
SAMPLE and talk to patient and family or bystanders |
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When is a Rapid Trauma Assessment performed
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On patients with a significant MOI Injury to determine life threatening injuries
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Name 5 consideration to remember when doing a Rapid Trauma Assessment
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Reconsider MOI
Continue C-Spine Consider ALS support / Helicopter Reassess Mental status Perform a Rapid DCAP/BTLS assessment |
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What does DCAP/BTLS stand for
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Deformities
Contusions Abrasions Punctures / Penetrations Burns Tenderness Lacerations Swelling |
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What is the order of a Rapid trauma assessment
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Head
Neck Chest Abdomen Pelvis Legs Arms |
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When Doing a Rapid Trauma Assessment on the head what are you looking for
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DCAP/BTLS
Drainage from nose, ears, or mouth |
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When Doing a Rapid Trauma Assessment on the neck what are you looking for
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JVD
Misaligned Trachea Step Off of the spinal bones Use of accessory muscles for breathing Medic alert jewelry |
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When Doing a Rapid Trauma Assessment on the chest what are you looking for
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Paradoxical Motion
Intercostal retractions Crepitation - Bone rubbing together Lung sounds 4 places |
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When Doing a Rapid Trauma Assessment on the Abdomen what are you looking for
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Palpate the 4 quadrants
Rigidity Distension (Swollen) Feel for Pulsating Mass (feel the heart pulse) Possible pregnancy (8-80) |
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When Doing a Rapid Trauma Assessment on the Pelvis what are you looking for
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Palpate if no pain is noted gently compress the pelvis (lateral to midline and then ventral to dorsal
Incontinence Crepitation |
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When Doing a Rapid Trauma Assessment on the Legs and Arms what are you looking for
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Distal Edema
Medic Alert Jewelry Assess Distal PMS |
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What is Distal PMS
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Pulse, Movement and Sensation in the hands and feet
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When do you apply a C-collar
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When a spine injury is suspected after assessing the neck during rapid trauma assessment
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How do you check the patients back
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Roll that patient using C-spine precautions
Palpate for injuries Check for Sacral Edema (swelling) Plug the holes |
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How much time do we have before transporting a load and go patient
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10 Min
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How much time do we have before transporting a stay and play patient
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20 min
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How do you handle the Focused history and physical exam for a Medical patient
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Unresponsive Rapid trauma assessment and SAMPLE
Responsive - OPQRST/SAMPLE |
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How is a detail physical assessment different from a Rapid Trauma assessment
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Its more in depth
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Will a trauma patient always receive a detailed Exam
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No - only if time permits and probably during transport
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What is involved in an Ongoing assessment
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Repeat initial assessment
Reassess Vitals Repeat focused exam based on patients chief complaint Check interventions (like oxygen is still flowing) |
