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EMT-12 Scene Size-up

Study Guide

Scene size-up EMT's initial evaluation of a scene. Determine safety hazards and nature of patients problem and number of patients
Personal Protective Equipment (PPE) items that protect against injury and disease
DCAPBTLS D-Deformaties C-Continusions A-Abraisions P-Puncture/Penetraion B-Burns T-Tendernous L-Laceration S-Swelling
Nature of Illness (NOI) type of medical condition or complaint a patient is suffering from
Inspection of chest -inspect for trauma -chest rise -palpate: use both hands to make sure breathing is symmetrical -auscultate
ASsess pelvis -bleeding -priapism: erection, common in male spinal injured victims -palpation of pelvic wings
Assess Lower extremities Puleses Motor function: see if they can flex Sensory function:flick bottom of feet, see if they feel Deformaties
Upper extremities Deformaties Pulses Motor functions Sensation
apnea absence of breathing
dyspnea Difficult or labored breathing
hemiplegia paralysis of am arm and leg on one side of the body
icteric, icterus yellow skin or sclera
paraplegia paralysis of both legs
quadriplegia paralysis of both arms and legs
Flexion posturing patient arches back and flexes the arms inward toward the chest. Sign of serious head injury. aka decorticate posturing
Aspiration Breathing a substance into the lungs
Flail Segment 2 or more adjacent ribs that are fractured in 2 or more places
Chief complaint answer to question, "Why did you call the ambulance?"
Battle sign black and blue discoloration to the mastoid area behind the car, late sign of a skull or head injury
Paradoxical motion movement of a section of the chest in the opposite direction from the rest of the chest during respiration
Modified secondary assessment physical exam focused on specific site. responsive trauma patient no significant mechanism of injury, no multiple injuries or altered mental statues, responsive, alert and oriented.
Rapid secondary assessment head-to-toe physical exam. significant mechanism of trauma swiftly carried out, multiple injuries, altered mental status. -can either be unresponsive, no response to verbal stimuli or painful stimuli.
Primary assessment assessment conducted immediately following scene size up for purpose of discovering immediately life threatening conditions
Patent Open, not blocked
Cerebrospinal fluid Fluid that surrounds and cushions the brain and spinal cord
AVPU -mnemonic for alert, -responds to verbal stimulus, -responds to painful stimulus, -unresponsive-to characterize levels of responsiveness
Created by: voneckab