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12 Cards in this Set

  • Front
  • Back
What are the basic steps of Scene Size Up?
PENMAN
1. BSI
2. Scene Safe?
3. MOI?
4. NOI?
5. Number of Patients
6. Consider Additional Resources
7. C-Spine
What does PENMAN stand for in the Scene Safety step?
Personal, partner, patient safety, BSI
Environmental Hazards
Number of Patients
MOI
Additional resources
Need for spinal immobilization
What are the general steps for Initial Assessment?
General Impression of Patient
Responsiveness-AVPU
ABCs
Level of Consciousness: Person, Place, Time, and Event
Reevaluate Transport Decision
What are the steps in a Rapid Physical Exam?
DCAPBTLS Assess everything:
1. Head and neck-crepitus, tracheal deviation, JVD
2. Chest-paradoxical motion, crepitus
3.Abdomen-rigidity, distension
4. Pelvis-if no pain, compress
5. Extremeties-distal pulses
6. Back and Buttocks
D
C
A
P
B
T
L
S
Deformities
Contusions
Abrasions
Punctures/Penetrations
Burns
Tenderness
Lacerations
Swelling
What types of patients would you perform a Rapid Physical Exam on?
trauma patients with a significant MOI
unresponsive medical patients
What are the general steps of a Focused Physical Exam?
1. Head, neck and C-spine
2. Chest and breath sounds
3. Abdomen
4. Pelvis
5. Extremities
6. Posterior
What are the basic techniques of physical examination?
Inspection-Look
Auscultation-Listen
Palpation-Feel
Assessment Steps for

TRAUMA patient with significant MOI
1. Rapid Trauma Assessment
2. Baseline Vital Signs
3. SAMPLE
4. Reevaluate Transport
Assessment Steps for

TRAUMA patient with NO significant MOI
1. Focused Trauma Assessment
2. Baseline Vital Signs
3. SAMPLE and OPQRST
4. Reevaluate transport
Assessment Steps for

Responsive MEDICAL Patient
1. History of Illness OPQRST
2. SAMPLE
3. Focused Physical Exam
4. Baseline Vital Signs
5. Reevaluate Transport
Assessment Steps for

Unresponsive MEDICAL Patient
1. Rapid Medical Assessment
2. Baseline Vital Signs
3. SAMPLE
4. Reevaluate Transport