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Chapter 12
The Primary Assessment
| Question | Answer |
|---|---|
| ABCs | airway, breathing, and circulation |
| AVPU | a memory aid for classifying a patient's level of responsiveness or mental status. the letters stand for alert, verbal response, painful response, unresponsive |
| chief complaint | the reason EMS was called, usually in the patient's own words |
| general impression | impression of the patient's condition that is formed on first approaching the patient, based on the patient's environment, chief complaint, and appearance |
| interventions | actions taken to correct or manage a patient's problems |
| mental status | level of responsiveness |
| primary assessment | the first element in a patient assessment; steps taken for the purpose of discovering and dealing with any life-threatening problems |
| priority | the decision regarding the need for immediate transport of the patient versus further assessment and care at the scene |
| What are the six elements of the primary assessment? | forming a general impression, assessing mental status, assessing airway, assessing breathing, assessing circulation, and determining patient priority |
| What are signs of possible shock? | unusually anxious, pale, sweaty, rapid pulse, and rapid respiratory rates |
| What are the 4 situations to call for assistance with breathing? | patient is in respiratory arrest with a pulse, patient is not alert and is breathing is inadequate, patient has some level of alertness and breathing is inadequate, patient's breathing is adequate but signs show hypoxia or respiratory distress |
| What results of the pulse check are you looking for? | within normal limits, unusually slow, unusually fast |
| What are considered high priority conditions? | poor general impression, unresponsive, responsive but not following commands, difficulty breathing, shock, complicated childbirth, chest pain consistent with cardiac problems, uncontrolled bleeding, and severe pain anywhere |
| What is necessary for a patient to be considered stable? | vital signs must be normal or slightly abnormal, and no threat to the ABCs |