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17 Cards in this Set

  • Front
  • Back

Scene Size Up


Time

To Scene, Weather, Road Conditions


Time to nearest hospital and to appropriate facility

Scene Size Up


Nature of Call, MOI/NOI

Type of call


Is it safe to go without help


Consider C-Spine

Scene Size Up


Additional Resources considerations

Does the nature of call require police?


Can I handle it in my scope of practice? Consider ALS &ILS


Do you need help more than you and your partner.

Scene Size Up


Scene Safety

Windshield View


Hostile people/animals


Does the house seem safe to enter


Request additional resources if needed

Scene Size Up


PPE

Gloves/Gown/ Eye Protection

Scene Size Up


Determine # of Patients

Done on scene arrival

Primary Assessment


General Impression

Surroundings


Patient


C Spine consideration


Any major life threats

Primary Assessment


Determining Responsiveness and LOC

Is the patient tracking me?


Attempt to talk to patient


AVPU


Give sternum rub if no response

Primary Assessment


Airway

Check if they are alert or responsive to verbal stimuli


Listen for lung sounds


If not responsive, open airway (head tilt chin lift/Jaw Thrust)


Assess Gag Reflex in unresponsive patient.


NPA if there is a present gag reflex


OPA & NPA if there is no present gag reflex

Primary Assessment


Breathing

Assess Depth, Rate, Effort


Assess Lung Sounds


Determine amount of O2 and delivery device as appropriate

Primary Assessment


Circulation

Quickly assess for bleeding


If responsive check radial pulse. If not present check brachial and carotid


Assess rate, regularity, and strength- determine adequacy of circulation


Check skin color, temp and conditions

Primary Assessment


Transport Decision

If patient is critical immediately transport at this time


If a medical call: be sure to take someone who can give you a history

Secondary Assessment- Medical/Trauma


Vital Signs

AVPU


Heart Rate


Respiratory Rate


Blood Pressure


Skin


Lung Sounds


Blood Glucose Level (Always take when there is an altered mental status)


Pulse Oximetry


Temp (will be taken on patients who are cold, confused, hot, rashes, recent history of illness

Secondary Assessment-Medical/Trauma


SAMPLE

Signs & Symptoms


Allergies


Medications


Past Medical History


Last Oral Intake


Events leading up to

Secondary Assessment-Medical/Trauma


History of Present Illness

OPQRSTU


Onset


Provocation


Quality


Radiation


Severity


Time


Has this happened to YOU



Clarifying questions: questions that associate with the injury/illness

Secondary Assessment- Medical


Reassessment

Assess body parts/systems.


Ask questions to pertaining system.


En route obtain 2nd pair of vitals, re-evaluate interventions

Secondary Assessment- Trauma

Hands on assessing for DCAPBTLS, head to toe palpate