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Medical Assesment
keiser m.a
| Question | Answer |
|---|---|
| Medical Assessment#1 | Park in a safe and convenient locatoin |
| Medical Assessment #2 | Take, or verbalize body substance isolation precautions |
| Scene size-up has how many steps? | 5 |
| What are the 5 steps to the scene size up? | 1. Determine that the scene is safe (personnel, patient, and bystanders) 2. Determine the nature of illness (NOI) 3. Determine the number of patients 4. Request Additional resources if necessary 5. Consider stabilization of the spine |
| What are the 3 steps prior to ABC's in the initial assessment | 1. Approach the patient and form a general impression 2. Assess mental status (AVPU) 3. Determine chief complaint |
| How many steps are there in the initial assessment? | 8 |
| what is the step for "airway" in initial assessment? | maintain and secure a patent airway |
| what are the 4 steps to assessing breathing in the IA | • Assess rate, rhythm, depth • Initiate oxygen therapy |
| what are the 7 steps to assessing circulation in the IA | • Assess rate, rhythm and strength • Assess skin color, temperature and condition • Control major bleeding |
| what are th 2 steps in the IA after ABCs | 1. Determine transport priority and determine appropriate facility 2. Expose patient and protect the environment |
| under what conditions do you perform the rapid trauma assesment? | if pt has AMS |
| what are the 7 steps in the "head" RTA | Inspect and palpate DCAP-BTLS 1. Scalp 2. Skull 3. Face 4. Eyes 5. Ears 6. Nose 7. Mouth |
| what are the 5 steps in the "neck" RTA | Inspect and palpate DCAP-BTLS 1. Tracheal deviations 2. JVD 3. Muscle spasms 4. Stair stepping Apply C-Collar |
| what are the 4 steps in the "chest" RTA | Inspect and palpate DCAP-BTLS 1. Tracheal deviations 2. JVD 3. Muscle spasms 4. Stair stepping Apply C-Collar Inspect and palpate DCAP-BTLS 1. Flail segment 2. Paradoxical motion 3. Chest symmetry Auscultate lung sounds |
| what are the 6 steps in the "abdomen" RTA | nspect and palpate DCAP-BTLS 1. Rigidity 2. Distention 3. Guarding 4. Tenderness 5. Firmness 6. Pulsating masses |
| in addition to DCAP-BTLS, what are you also checking for in the pelvis, genitalia, perineum portion of the RTA? | stability |
| in addition to DCAP-BTLS, what are you also checking for in the extremities portion of the RTA? | PMS |
| what is the last portion of the body inspected in the RTA | posterior |
| how many steps are included in the focused hx and physical exam | 6 |
| what is the 1st step in the FHandPE? | 1. Signs and symptoms (Assess history of present illness) |
| FH&PE Respiratory | opqrst-i |
| FH&PE Cardiac | opqrst-i |
| FH&PE AMS (8) | Altered Mental Status 1. Describe episode 2. Onset 3. Duration 4. Associated Symptoms 5. Evidence of trauma 6. Interventions 7. Seizures 8. Fever |
| FH&PE Allergic reactions (6) | 1. Hx of allergies 2. What were you exposed to 3. How were you exposed 4. Effects 5. Progression 6. Interventions |
| FH&PE Poisoning/OD(6) | 1. Substance 2. When did you ingest or become exposed 3. How much did you ingest 4. Over what period of time 5. Interventions 6. Estimated weight |
| FH&PE environmental (5) | 1. Source 2. Environment 3. Duration 4. LOC 5. Effects general or local |
| FH&PE OB (7) | 1. Pregnant 2. How long 3. Pain or contraction 4. Bleeding or discharge 5. Urge to push 6. Last menses 7. Urine change |
| H&PE behavioral (5) | 1. Medical or psych Hx 2. How do you feel 3. Interventions 4. Determine if suicidal 5. Dangerous thoughts |
| what are the remaining steps in the FH&PE portion after history of present illness? (5 additional steps) | 2. Obtain SAMPLE history 3. Obtain baseline vital signs including BGL 4. Perform focused physical exam based on chief complaint 5. Perform neurological assessment of extremities 6. Perform interventions |
| what are the 2 steps in "transport" | 1. Re-evaluate the transport decision 2. Consider performing a detailed physical exam |
| what are the 4 steps to ongoing assessment | 1. Repeat initial assessment 2. Repeat vital signs 3. Repeat focused assessment based on patient’s chief complaint 4. Check interventions |
| when in the evaluation are you to obtain a baseline set of vitals | FH |
Created by:
heatherenigma
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