Comm / Doc
This is the standardized radio report structure EMTs use when calling the hospital.
What is the verbal report format (age, chief complaint, vitals, treatment, ETA)?
This is the first step of the primary assessment after ensuring scene safety.
What is forming a general impression?
This type of secondary assessment is performed when the patient has isolated, localized pain with no significant MOI.
What is a physical focused exam?
This is how often you reassess a stable patient
What is the patient history (SAMPLE/OPQRST)?
PCR Format
SOAP Note
S: Subjective
O: Objective
A: Assessment
P: Plan
This part of the PCR must include the exact words the patient uses to describe their condition.
What is the chief complaint (“patient stated”)?
This decision point is made early and determines whether the EMT must intervene immediately to prevent death.
What is identifying life threats?
These are the four major vital signs collected during a secondary assessment.
What are pulse, respirations, blood pressure, and skin signs?
This is how often you reassess an unstable patient.
What is every 5 minutes?
Findings on exam that are negative but relevant
What are pertinent negatives?
This legal concept dictates that any incomplete or inaccurate patient care report may be interpreted as poor care.
What is 'If it wasn’t written, it didn’t happen'?
These three components make up the standard AVPU scale.
What are verbal, painful, and unresponsive?
This acronym guides a systematic head-to-toe physical exam to evaluate trauma patients for hidden injuries.
What is DCAP-BTLS?
This is the primary purpose of reassessment
What is to detect changes in the patient’s condition?
High Liability PCR document
What is a patient refusal?
These are the three major documentation sections required on every PCR.
Response: What are subjective, objective, and assessment/interventions?
This respiratory finding is the strongest indicator for immediate BVM ventilation even if respiratory rate is normal.
What is inadequate tidal volume?
This is the purpose of obtaining a baseline set of vital signs before interventions.
What is to identify trends and changes in patient condition?
This component of reassessment involves confirming whether your interventions had the intended effect.
What is checking the effectiveness of treatment?
Blue coloration around the lips
What is Cyanosis?
This communication technique uses brief, clear language and expects the receiver to repeat information back for accuracy.
What is closed-loop communication?
This circulation assessment component identifies internal or external blood loss by checking skin color, temperature, and condition.
What is assessing for signs of shock (perfusion)?
In a medical patient, this component of the exam typically provides more diagnostic value than the physical exam.
What is the patient history (SAMPLE/OPQRST)?
: When trending vital signs, this specific finding indicates deterioration in perfusion.
What is a change in mental status?
The wireless transmission of patient care monitor information to the ED
What is Telemetry?