G Emt-I Patient Assessment

Front 1

What are the elements of scene size up?

Back 1

Scene Safety
BSI
Number of Patients
Resources Available

Front 2

What are the elements of the initial assessment?

Back 2

General Impression
Responsiveness
Chief Complaint/Life Threats
C-Spine as needed
ABC

Front 3

What items are required to be checked or performed during the ABC phase of the initial assessment?

Back 3

Airway - Open and assess airway

Breathing - Assess breathing, Assure adequate ventilation, Administer Oxygen as required, Manage injuries affecting the airway

Circulation - Check pulse, Assess skin color/temp/condition, Control major bleeding, Shock management, Prioritize patients and make transport decision

Front 4

Rapid Trauma Assessment - What items are checked concerning the patients head?

Back 4

Palpate for crepitus
Inspect for bleeding/control major bleeding
Inspect for burns/Calculate burn percentage

Front 5

Rapid Trauma Assessment - What items are checked concerning the patients neck?

Back 5

Check for trachea deviation
Check JVD
Palpate cervical spine
Inspect for bleeding/control major bleeding
Inspect for burns/Calculate burn percentage

Front 6

Rapid Trauma Assessment - What items are checked concerning the patients chest?

Back 6

Check for penetrations/Seal sucking chest wound
Palpate chest-looking for flail chest/stabilize flail chest
Inspect for bleeding/control major bleeding
Inspect for burns/Calculate burn percentage

Front 7

Rapid Trauma Assessment - What items are checked concerning the patients abdomen/pelvis?

Back 7

Inspect for tenderness and or rigidity
Check pelvis stability/crepitus
Inspect for bleeding/control major bleeding
Inspect for burns/Calculate burn percentage

Front 8

Rapid Trauma Assessment - What items are checked concerning the patients lower extremities?

Back 8

Palpate for deformities-stabilize then splint
Inspect for bleeding/control major bleeding
Inspect for burns/Calculate burn percentage

Front 9

Rapid Trauma Assessment - What items are checked concerning the patients upper extremities?

Back 9

Palpate for deformities-stabilize then splint
Inspect for bleeding/control major bleeding
Inspect for burns/Calculate burn percentage

Front 10

Rapid Trauma Assessment - What items are checked concerning the patients posterior thorax?

Back 10

Check chest for penetrations/seal sucking chest wound
Palpate midline spine
Inspect for bleeding/control major bleeding
Inspect for burns/Calculate burn percentage

Front 11

Rapid Medical Assessment - What items are checked concerning the patients head?

Back 11

Pupils PERRL
Mouth symmetry

Front 12

Rapid Medical Assessment - What items are checked concerning the patients neck?

Back 12

JVD
Medic alert necklace

Front 13

Rapid Medical Assessment - What items are checked concerning the patients chest?

Back 13

Auscultate lung fields
Inspect for medication patches
Palpate for implanted medical devices

Front 14

Rapid Medical Assessment - What items are checked concerning the patients abdomen/pelvis?

Back 14

Inspect for tenderness, rigidity, or distention

Front 15

Rapid Medical Assessment - What items are checked concerning the patients lower extremities?

Back 15

Palpate distal pulses
Inspect ankle for medic alert bracelet
Check for edema

Front 16

Rapid Medical Assessment - What items are checked concerning the patients upper extremities?

Back 16

Inspect for medic alert bracelet

Front 17

What information is gathered and or decided during the focused history and medical exam?

Back 17

OPQRST
SAMPLE
Pulse rate/rhythm/quality
Respiratory rate/rhythm/quality
Blood pressure
Diagnostics
Field impression of patient
Treatment plan and calls for appropriate intervention
Transport decision re-evaluated

Front 18

What items occur during the ongoing physical exam?

Back 18

Repeat initial assessment
Repeat vital signs
Evaluation of response to treatment
Repeat focused assessment regarding chief complaint or injuries

Front 19

Detailed Physical Exam - What items are checked concerning the patients head?

Back 19

Inspect mouth, nose, and facial area
Inspect and palpates scalp and ears
Assess pupils PERRL
DCAPBTLS

Front 20

Detailed Physical Exam - What items are checked concerning the patients neck?

Back 20

Check position of trachea
JVD
DCAPBTLS

Front 21

Detailed Physical Exam - What items are checked concerning the patients chest?

Back 21

Palpate spine
Inspect chest
Palpate chest
Auscultate lung fields
DCAPTBTLS

Front 22

Detailed Physical Exam - What items are checked concerning the patients abdomen?

Back 22

Inspects and palpates abdomen
Assess pelvis
Assess genitalia/perineum as needed
DCAPBTLS

Front 23

Detailed Physical Exam - What items are checked concerning the patients lower extremities?

Back 23

Inspects, palpates, and assesses motor, sensory, and distal circulation functions
DCAPBTLS

Front 24

Detailed Physical Exam - What items are checked concerning the patients upper extremities?

Back 24

Inspects, palpates, and assesses motor, sensory, and distal circulation functions
DCAPBTLS

Front 25

Detailed Physical Exam - What items are checked concerning the patients posterior thorax, lumbar, and buttocks?

Back 25

Inspects and palpates posterior thorax
Inspects and palpates lumbar and buttocks
DCAPBTLS

Front 26

What does OPQRST stand for and what phase of patient assessment is it found?

Back 26

Onset
Provocation
Quality
Radiation
Severity
Time

Found in focused history

Front 27

What does SAMPLE stand for and what phase of patient assessment is it found?

Back 27

Signs and symptoms
Allergies
Medications
Past medical history
Last oral intake/LMP
Events leading up to present condition

Found in the Focused history

Front 28

What does DCAPBTLS stand for and what phase of patient assessment is it found?

Back 28

Deformities
Contusions
Abrasions
Punctures/Penetrations
Burns
Tenderness
Lacerations
Swelling

Found in the detailed physical exam