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Medical Assesment

keiser m.a

QuestionAnswer
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