| Term | Definition |
| Scene size up | -determining MOI
-determining NOI
-additional resources
-PPE/ BSI
-number if Pts
-C-spine |
| Six dangers on scene | -traffic
-leaking fluids/fumes
-broken utility poles/ downed lines
-hostile bystanders
-smoke/fire
-HazMat |
| Blunt trauma | Force occurs over broad area
-skin not usually broken |
| Penetrating trauma | Force occurs over small point of impact resulting in broken skin |
| DCAP-BTLS | Deformities
Contusions
Abrasions
Punctures/ Penetration
Burns
Tenderness
Lacerations
Swelling |
| MOI criteria | -amount of force applied
-length of time force is applied
-areas of the body involved |
| NOI criteria | -characteristics of penetrating object
-amount of force energy
-area of body affected |
| Initial assessment doesn’t include | Pupillary responce |
| SAMPLE | Sign/symptoms
Allergies
Medication
Pertinent past history
Last oral intake
Events leading up to illness injury |
| OPQRST | Onset
Palliation Provacation
Quality
Region radiation
Severity
Timing |
| PEARRL | Pupils equal and round regular in size reactive to light |
| AED on children | 8 years old
55 Lb |
| Initial assessment goal | Identify and treat immediate or potential life threats |
| Goals of focused Hx exam and physical exam | Mental status |
| Skin color changes in deep pigment Pt locations | Sclera, conjunctiva, inside lip |
| AVPU | Alert (eyes open)
Verbal stimuli
Pain stimuli
Unresponsive |
| What phase is AVPU used | Initial assessment |
| Unable to identify person is lapse in which memory | Long term memory |
| General impression | Assess the
-environment
-signs and symptoms
-MOI
-Chief complaint |
| Unresponsive Pt with decreased LOC | Assess the patency of the airway |
| Assess skin temp by | Touch Pt with ur wrist or back of hand |
| When to determine priority of Pts | Initial assessment (high, med, low priority) |
| MOI examples | -ejection from vehicle
-death of another occupant
-fall 3x Pt height
-vehicle roll over
-vehicle pedestrian collision
-trauma to head, chest abdomin |
| Load and go Pt | -breathing
-poor general impression
-unresponsive
-chest pain or systolic less than 100
-place skin
-complicated child birth
-uncontrolled bleeding
-responsive but unable to complete command
- severe pain
-inability to move body part |
| Ongoing assessment question | -is treatment improving condition
-has identified problems become better or worse
-what is nature of newly identified problem |
| Three common causes of subcutaneous emphysema | -ruptured airway
-pneumothorax
-rib fractures |
| Paradoxical breathing | FLAFL |
| Rales caused by | Cardiac failure |
| Seven common vitals | -Respiration
-pulse
-blood pressure
-skin- color temp condition
-pupil reaction
-capillary refill
-LOC (AVPU) |
| Normal adult vitals | Pulse form 60-100
BP 90-140 |
| Normal child vitals | Pulse 70-150
BP 80-110 |
| Normal infant vitals | Pulse 100-160
BP 50-95 |
| Causes of altered mental status | -head trauma
-hypoxia
-hypoglycemia
-stroke
-cardiac
-drug |
