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Medical Assessment
| Question | Answer |
|---|---|
| First step of Medical Assessment? | Scene size-up |
| Second Step of medical assessment? | Primary Assessment |
| Third step of medical assessment? | History taking |
| Fourth step of medical assessment? | Secondary Assessment |
| Fifth step of medical assessment? | Vitals |
| Sixth step of medical assessment? | Reassessment |
| What are the 5 requirements of Scene Size-up | BSI NOI Number of patients Additional personnel C-Spine immobilization |
| What are the 6 requirements of Primary Assessment? | General impression Responsiveness/level of consciousness Chief complaints Airway and Breathing Circulation Patient Priority and Transport |
| How do you take Hx? | OPQRST and SAMPLE |
| What 3 things are required when taking Vitals? | Full set of vitals Field impression Interventions |
| Reassessment includes? | Knowing when to reassess patient and accurate report |
| How do you establish orientation and responsiveness in Primary Assessment? | AVPU and AA&O4 questions |
| AVPU is an acronym for? | Alert, Verbal, Pain, and Unresponsive |
| What are the 4 things needed to determine orientation in Primary Survey? | Person, place, time, and event |
| In the Primary Assessment, what is required for Airway and Breathing? | Assessment, adequate ventilation, appropriate O2 therapy |
| In the Primary Assessment, what is required for Circulation? | Assesses/controls bleeding, skin, and pulse |
| OPQRST is an acronym for? | Onset/Provocation/Quality/Radiation/Severity/Time |
| SAMPLE is an acronym for? | Signs and symptoms/Allergies/Medications/Pertinent Medical Hx/Last oral Intake/Events |
| When did your *condition* begin? | Onset |
| Does anything make your *condition* better or worse? | Provocation |
| Can you DESCRIBE your pain to me? | Quality |
| Does your *condition* seem to spread anywhere else? | Radiation |
| On a scale of 0-10, can you rate your pain? | Severity |
| About how long has your *condition* been ongoing? | Time |
| What seems to be going on today? | Signs/symptoms |
| Are you allergic to anything? | Allergies |
| Are you currently on any medications? | Medications |
| Do you have any past medical history we should know about? | Past pertinent medical hx |
| When’s the last time you ate or drank anything? | Last oral intake |
| What happened before your *condition* started? | Events |
| What systems should be assessed in the Secondary Assessment? | Cardiovascular, GI/GU, Integumentary(skin), Psychological, Pulmonary, Reproductive |
| How do you conduct the Secondary Assessment? | DCAP BTLS |
| DCAP BTLS is an acronym for? | Deformities/Contusions/Abrasions/Punctures or Penetrations/Burns/Tenderness/Lacerations/Swelling |
| Standard vital signs | BP: 120/80 Pulse: 60-100 RR: 12-20 Temperature: 98.6 Oxygen: Greater then 94% |
| How often is a CRITICAL patient reassessed? | Every 5 minutes |
| How often is a NON-CRITICAL patient reassessed? | Every 15 minutes |
| What is the importance of Scene Size-up? | Ensure personal Safety |
| What is the primary goal of the Primary Assessment? | Determine any immediate life threats to patient |
| What is the importance of Hx Taking? | Gather as much information about patient for treatment optimization |
| What is the primary goal of the Secondary Assessment? | Determine extent of illness in other systems |
| What is the importance of vital signs? | Monitor stability of patient |
| Why is Reassessment important? | To provide transfer of care with accurate response to treatments and stability |
| How is oxygen administered via Nasal Cannula, NRB, and BVM | Nasal Cannula: 1-6L NRB: 10-15 L BVM: 15L |
| What are the indications for Glucose? | AMS, BGL under 70, and responsive |
| Contraindications for Glucose | BGL over 70 and unresponsive |
| Indications for Activated Charcoal | Ingested poison and can swallow |
| Contraindications for Activated Charcoal | Unable to swallow |
| Contraindications of ASA | Allergic and GI bleed |
| Indications of ASA | Chest pain/discomfort |
| Dosage of ASA | 4x81 mg or 324 mg |
| Indications for Bronchodilator | Respiratory distress from bronchoconstriction Patient has prescription |
| Contraindications for Bronchodilator | Patient has taken max dose |
| Dosage of Nitroglycerin | 0.4 mg |
| Contraindications for nitroglycerin | Patient is on erectile dysfunction medication Systolic BP of less than 90 Suspected head injury |
| Indications for nitroglycerin | Chest pain |
| Epinephrine indications | Allergic reaction Patient has prescription |
| Narcan (Naloxone) indications | Suspected opioid overdose |
| Contraindications for Naloxone | Allergic |
| Dosage of Naloxone | 0.4 to 2 mg |
| What are the levels of patient priority? | P1 P2 P3 |
| What are the two types of transport type? | Stay and play Load and go |
| What is included in a full set of vitals? | BP, Pulse, RR and quality, Temp, Oxygen, and Glucose |
Created by:
Kellbellll
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