Assessment
You are assessing a 76 year old male patient who has been involved in a fall from a standing position. You have completed the scene size-up and primary assessment. What should you do next?
What is a secondary assessment?
A surgical incision in the neck that is held open by a metal or plastic tube through which a patient can breathe or be placed on a ventilator.
What is a tracheostomy?
"Have you been having any medical problems?" is what part of assessment?
What is P- in SAMPLE?
During reassessment, you notice that your patient is making gurgling sounds. You should immediately do what?
What is suction the airway?
Signs or symptoms that suggest the possibility of a particular problem that is very serious
What are red flags?
While performing a detailed physical exam on a patient involved in a fall from 30 ft, the patient (who had previously been responding to your questions) stops responding. What should you do next?
What is repeat the primary assessment?
A permanent surgical opening in the neck through which a patient breathes
What is a stoma?
You are dispatched for a patient with chest pain. Your patient tells you that she has had shortness of breath and chest pain for about 20 minutes. Asking what question will give you the best information regarding your patient's chest pain symptoms?
A patient complains of abdominal pain localized to a specific area of the abdomen. How should you palpate it?
What is palpate the painful area last?
A 32 YOM was rescued from a burning building. He was unconscious when he was rescued and the firemen informed you that there was evidence of illegal drugs in the room with the patient. During assessment you assume the patient has both ____ and _____ issues.
What is medical and trauma?
You are alone in the back of the ambulance where you are ventilating an apneic patient. What is the best way to manage reassessment?
Crepitation or crepitus is...
What is the feeling of bones rubbing together?
"Does anything make the pain better or worse?" is what part of an assessment?
What is the P in OPQRST?
Your patient is a 23 YOM with a stab wound to the abdomen. You have bandaged the wound and are transporting. During you reassessment, you note the bandage has become soaked with blood. Your priority with this patient is...
What is controlling the bleeding?
When checking breath sounds in a trauma patient, what should be assessed first?
What is presence and equality?
What is every 15 minutes?
A segment of the chest wall is moving in the opposite direction from the rest of the chest.
What is paradoxical motion?
Mrs. Butler is a 66 YOF who is complaining of chest pain. Asking what will help you determine if her pain is radiating?
Are you having pain anywhere besides your chest?
You are called for a patient who is weak and dizzy. Your BP machine reports a BP of 280/140. Your next step is...
What is perform a manual blood pressure?
Your patient has been hit in the arm with a baseball during practice. He is alert and oriented, complaining of obvious black discoloration of the skin. What type of assessment is called for?
Reassessing and recording finding of the reassessment so they can be compared to earlier findings
What is trending?
Crackling or crunching sensation felt when air escapes from its normal pathways and is trapped under the skin.
What is subcutaneous emphysema?
You respond to a patient with shortness of breath. He reports that his breathing problems began this morning and have gotten worse over the last few hours. You ask if he has taken anything to help his symptoms and he tells you he has used his inhaler several times in the last hour. What part of assessment is the information you have gathered?
What is the history of present illness?
Your 76 YOF pt is having trouble breathing. When you auscultate her lungs, you hear crackles (rales). Her oxygen saturation is 92%, so you place her on 100% oxygen via nonrebreather mask. Her breathing gets a little easier. While completing reassessment, you see that her respirations have slowed to 8 breaths per minute and she is barely staying awake. How will you handle this?
Reassessments should be performed on these patients
What is all patients?