Assesment - Trama
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1. verbilize B.S.I. | gloves ,mask, etc.
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2. determine the scene/ situation is safe | scene safe
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3. determine MOI/NOI | what is MOI/NOI
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4. request additional EMS if neccessary | get extra help
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5. concider stabilizeation of spine | based on MOI ask for c-spine to be held
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6. determine responsiveness/ level of consciousness | A-alert
V-verbal
P-pain
U-unresponsive
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7. derermine chief complaint/apparentlife threats | what is primary complaint
are there any life threating injuries
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8. Airway | open and assess airway-do i need to suction
insert adjunct- any gaging
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9. Breathing | assesses beathing-look listen and feel
assures adequate ventilation-
initiates appropiate oxygen therapy
manage any breathing injury that compramises breathing
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10. Circulation | check pulse
assess skin(color,temp, condition)
assess for and control major bleeding
initiates shock managment(position, body heat
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11. identifies patient properties | treatment / transport decision
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12. history taking | attemt to get S A M P L E history
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13. Secondary assessment Head | inspect Mouth, nose, facial area,
inspect scalp and ears
assesses eyes
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14. Secondary assessment Neck | checks position of the Trachea
checks jugular viens
Palpates cervical spine
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15. Secondary assessment Chest | Inspects chest
palpates chest
auscultates chest
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16. Secondary assessment Abdomen/ pelvis | inspect and palpates abdomine
assesses pelvis
verbalizes assessment of genitals
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17. secondary assessment lower extrimities | inspects , palpates moter sensory distal pulses
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18. secondary assessment upper extrimities | inspects , palpates moter sensory distal pulses
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19. secondary assessment posterior thorax, lumbar and buttocks | inspects , palpates posterior thorax
inspects and palpates lumbar and buttocks
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20. sample history | attempt to get sample history
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21. obtain baseline vitals | includes BP, Pulse, Resperations
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22. manages secondary injuries and wounds | splints bandages etc.
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23. reassessment | explaine how and when to reassess patient
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