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QuestionAnswer
AVPU Alert Verbal Painful Unconscious
XABC External bleeding Airway Breathing Circulation
OPQRST Onset Provocation Quality Radiation Severity Time
SAMPLE Signs/Symptoms Allergies Medications Past history Last oral intake Events leading up to incident
Scene size up Scene safety MOI/nature of illness Determine number of patients Request additional EMS Consider stabilization of spine
Primary assessment Verbalize general impression of pt Responsiveness Chief complaint/life threatening ABC History
Assessing Airway and breathing Assessment Assure adequate ventilation Initiates appropriate oxygen therapy
Assessing circulation Assess/control major bleeding Assess skin color temp condition Check for pulse
Secondary assessment Assess affected body parts/systems Cardiovascular Pulmonary Neurological Musculoskeletal Integumentary GI/GU Reproductive Psychological/social
Order of life saving You Your partner Other EMS personal Patient
Vital Signs Blood pressure Pulse Respiratory rate and quality O2 sat BGL
Stable patient re assessment 15 minutes
Unstable patient reassessment 5 minutes
Baseline vital signs Initial values taken when patient is first approached
Trending vital signs The comparison from the baseline vitals to now
Adult pulse 60-100
Patient assessment trauma PPE/safe?/MOI/#pts/ALS/cspine/genimp/LOC/CC/XABC/L&GorS&P/history vitals/secondary/call hospital
Patient assessment medical PPE/safe?/NOI/#pts/ALS/cspine/genimp/LOC/CC/XABC/PAIN/History/effected systems/VS/field impression/reassess/call hospital
Trauma secondary assessment Head Run fingers through hair feeling for depression or avulsion look at eyes/pupils-reactive/bruising under the eye feeling for battle signs behind the ears nose-secretions mouth-secretions dentures smashed teeth swollen/bitten tongue Jaw-broken/displaced
Trauma secondary assessment Neck Feel for step down or irregularities in the vertibrae look for JVD trachea deviation
Trauma secondary assessment Chest Look-rise/fall paradoxical movement Listen-crepitus gurgling wheezing Feel-depression/distention
Trauma secondary assessment Abdomin/pelvic distention rebounded tenderness sounds open book/close book Look Listen Feel (as needed)
Trauma secondary assessment lower extremity Palpate pedal pulse PMS
Trauma secondary assessment upper extremity Palpate radial pulse PMS
Posterior thorax/lumbar/buttocks Inspect Palpate
Joint immobilization PPE Manual stabilization PMS Immobilize above/below joint Secure extremity PMS
Long bone immobilization PPE Manual stabilization PMS Measures splint Applies splint Immobilize joint above/below injury sight Secure entire extremity Put hand/foot in functional position PMS
Shock/bleeding control PPE Direct pressure with gloved hand Applies tourniquet Properly position patient Administer high flow O2 Prevent heat loss Indicate transport
Adult respiration 12-20
DCAP-BTLS Deformities Contusions Abrasion Punctures Burns Tenderness Lasceration Swelling/sensativity
SHOP-medications Street Herbal OTC Prescription
Stroke test B-sudden loss of balance E-eyes loss of vision F-face drooping smile A-arms one is lower than the other S-slurred speech T-time
What is the most important question to ask a stroke patients family member When were they last normal
Created by: schmitzkatie
 

 



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