List 5 steps in the assessment process

1. Scene size-up 2. Primary assessment 3. Hx taking 4. Secondary Assessment 5. Reassessment

List 5 steps of scene size up

1. Ensure scene safety 2. Determine mechanism of injury/nature of illness 3. Take standard precautions 4. Determine the number of patients 5. Consider additional/specialized resources

List the steps for the primary assessment

1. Form a general impression 2. Assess LOC 3. Assess A/W; ID & treat life threats 4. Assess breathing; ID & treat life threats 5. Assess circulation: ID & treat life threats 6. Perform primary assess 7. Determine priority of pt care and transport

1. Investigate the chief complaint (hx of present illness) 2. Obtain SAMPLE hx.

S. Signs and symptoms A. Allergies M. Medications P. Pertinent past medical Hx L. Last oral intake E. Events leading up to the injury or illness

Secondary Assessment- Medical

Systematically (or focused) assess the pt Assess vital signs using the appropriate monitoring device

Secondary Assessment- Trauma

Systematically (or focused) assess the pt Assess vital signs using the appropriate monitoring device

Determine the level of responsiveness APVU

A. Awake and alert V. responsive to Verbal stimuli P. responsive to Pain U. Unresponsive

When performing the Rapid Exam use DCAP-BTLS

Deformity Contusions Abrasions Punctures Burns Tenderness Lacerations Swelling

OPQRST For obtaining additional info about Hx

Onset Provocation/palliation Quality Region/radiation Severity Timing

When documenting Hx the following items should be addressed:

Date of incident Pt's age Pt's sex Pt's race Past medical hx, including any pertinent info about the pt's condition Pt's current health status

List the parts of the Glasgow Coma Scale

1. Eye opening 2. Best Verbal response 3. Best Motor responce

GCS List the point values for Eye opening

4- spontaneous 3- in response to sound 2- in response to pressure 1- none

GCS List the points for best Verbal response

5- Oriented conversation 4- Confused conversation 3- Inappropriate words 2- Incomprehensible sounds 1- none

GCS List the points for Best Motor response

6- Obeys commands 5- Localizes to pressure 4- Withdraws from pressure 3- Abnormal flexion 2- Abnormal extension 1- none

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EMT Chpt 10 Pt Asses

Skills sheet-Medical/Trauma

Question	Answer
Define symptom	a subjective symptom that the pt feels and tells you about
Define sign	an objective condition that you can observe or measure
List 5 steps in the assessment process	1. Scene size-up 2. Primary assessment 3. Hx taking 4. Secondary Assessment 5. Reassessment
List 5 steps of scene size up	1. Ensure scene safety 2. Determine mechanism of injury/nature of illness 3. Take standard precautions 4. Determine the number of patients 5. Consider additional/specialized resources
List the steps for the primary assessment	1. Form a general impression 2. Assess LOC 3. Assess A/W; ID & treat life threats 4. Assess breathing; ID & treat life threats 5. Assess circulation: ID & treat life threats 6. Perform primary assess 7. Determine priority of pt care and transport
Describe Hx taking	1. Investigate the chief complaint (hx of present illness) 2. Obtain SAMPLE hx.
Describe SAMPLE hx	S. Signs and symptoms A. Allergies M. Medications P. Pertinent past medical Hx L. Last oral intake E. Events leading up to the injury or illness
Secondary Assessment- Medical	Systematically (or focused) assess the pt Assess vital signs using the appropriate monitoring device
List the vital signs	HR RR BP SpO2 BGL Temp
Secondary Assessment- Trauma	Systematically (or focused) assess the pt Assess vital signs using the appropriate monitoring device
Determine the level of responsiveness APVU	A. Awake and alert V. responsive to Verbal stimuli P. responsive to Pain U. Unresponsive
If the pt is responsive how do you evaluate orientation?	Person Place Time Event
When performing the Rapid Exam use DCAP-BTLS	Deformity Contusions Abrasions Punctures Burns Tenderness Lacerations Swelling
OPQRST For obtaining additional info about Hx	Onset Provocation/palliation Quality Region/radiation Severity Timing
When documenting Hx the following items should be addressed:	Date of incident Pt's age Pt's sex Pt's race Past medical hx, including any pertinent info about the pt's condition Pt's current health status
List the parts of the Glasgow Coma Scale	1. Eye opening 2. Best Verbal response 3. Best Motor responce
GCS List the point values for Eye opening	4- spontaneous 3- in response to sound 2- in response to pressure 1- none
GCS List the points for best Verbal response	5- Oriented conversation 4- Confused conversation 3- Inappropriate words 2- Incomprehensible sounds 1- none
GCS List the points for Best Motor response	6- Obeys commands 5- Localizes to pressure 4- Withdraws from pressure 3- Abnormal flexion 2- Abnormal extension 1- none

Created by: smiddleton

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