POD 1 JOUST

Scene Survey

100

The top priority as a first responder

Keep yourself safe!! :) 

200

4 additional resources you can use on call

-security

-your fellow responder

-peer support center

-call an exec member

-COR

-student wellness centre

-emergency services 

500

The full scene survey 

• Environment

• 
  

  • Hazards to you or your patient

• Mechanism of injury (MOI)

• 
  

  • How patient was injured

• Count casualties

• Call out to bystanders

• Caution to stay still

• 
  

  • In case of c-spine injury

• obtain Consent

• Additional resources

• PPE

Primary Assesment

200

AVPU

• Alert

• 
  

  • Open eyes, can initiate conversation, etc.

• Verbal

• 
  

  • Responds to verbal stimuli

• Pain

• 
  

  • Responds to pain (trap squeeze)

• Unresponsive

300

What warrants a critical intervention

Problem with ABC's

400

The purpose of the primary assessment

• Determine chief complaint, condition of casualty, life-threatening injuries, and transport decision

• Perform critical interventions

500

Steps in Primary Assessment

• Chief complaint

• AVPU

• ABC

•  Rapid Body Survey

• Transport decision

ABC's & O2

100

Breathing assessment

• Rate, rhythm, depth, smell

• Give oxygen if irregular (at END of primary, or have one responder set up while the other does primary)

200

The PSI for oxygen delivery 

• Breathing above 24, under 8

• Irregular breathing

300

When to administer oxygen

• Breathing above 24, under 8

• Irregular breathing

• at END of primary, or have one responder set up while the other does primary (or after transport decision if alone)

400

Nasal Cannula vs Partial Non-Rebreather

-6L/min and below use Nasal Cannula, anything above use partial non-rebreather

500

Circulation Assessment

• Rhythm, strength

• Equal on carotid and radial

• Skin color, moisture, temperature

Secondary Assessment

200

SAMPLE

• Restate chief complaint and responder impressions

• Signs and Symptoms

• 
  

  • What you see, what the patient feels

• Allergies

• Medication

• Past Medical History

• 
  

  • Relevant history

• Last oral intake

• Events prior

• 
  

  • What happened leading up to call/situation

300

The Purpose of Secondary Assessment

• Gather more information

• Catch anything you missed in Primary

• Treat injuries

500

OPQRST

• Onset

  • How quickly the pain started: Immediate, delayed, gradual

• Provocation/Palliation

  • What makes it better/worse

• Quality

  • A descriptor for how it feels

• Region & radiation

• Severity

• Time since onset/Time of injury