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Primary assessment
ABC's
Key Terms
Secondary Assessment
Physical assessment
100
this assessment follows the scene size up to discover & treat immediate life threats
What is primary assessment?
100
these are Pt's who have a higher risk of airway occlusion
What is unresponsive or severely AMS PTs?
100
absence of breathing
What is apnea?
100
Components of the secondary assessment.
What is a physical exam, obtaining baseline vitals & SAMPLE Hx?
100
Pericardiac tamponade, tension pnuemothroax or right sided heart failure who be suspected in this physical finding is present.
What is JVD (jugular vein distention)?
200
this is the first step of the primary assessment.
What is form general impression?
200
this is the location pulses are checked in PT's under 1 year old.
What is brachial pulse?
200
SOB or difficulty breathing
What is dyspnea
200
this type of assessment is done for PTs with a SIGNIFICANT MOI, multiple injuries, AMS or critical findings in the primary assessment
What is a Rapid secondary assessment (head-to-toe)?
200
a term for loss of bladder control X-tra points:could indicate that is medical condition occurred.
What is incontinence? a seizure?
300
this should be treated immediately upon being found & before moving on with your assessment
What is life-threatening conditions?
300
pulses should be checked in this location on unconscious PT.
What is carotid?
300
breathing a foreign substance into the lungs
What is aspiration?
300
the type of assessment is done on Pt's with an isolated injury w/ NO SIGNIFICANT MOI, single injury, A&OX4 & no critical findings in the Primary assessment.
What is Modified secondary assessment? (focused secondary exam, focused on the injury site)
300
expected lung sounds in a PT with severe uticaria & acute SOB
What is wheezes?
400
this is should be able to be determined after the general impression, assessing the mental status & the ABC's
What is est. PT priorities (load & Go, Stay & Play)
400
these two factors are used to determine if breathing is adequate or inadequate
What is rate & tidal volume?
400
a clear fluid that surrounds & cushions the brain & spinal cord. Extra points: name the procedure in which this fluid would appear & would indicate a severe head injury but is not always accurate.
What is cerebrospinal fluid, (CSF)? Extra points: "halo-test"
400
a PT's reflex to protect the ABD by tightening the muscles during assessment.
What is voluntary guarding?
400
a alternative test used to assess rebound tenderness & ABD peritonitis when voluntary guarding is noted. X-tra points: verbalize how its performed.
What is the Markle Test (heel jar test)? Its done by striking the heel sharply with a clenched fist.
500
In a trauma PT, considering c-spine precautions are taken at this step in the primary assessment.
After the general impression & before assessment mental status
500
these are components of assessing circulation
What is: assessing pulse, major bleeding, skin condition & cap refill?
500
when a section of the chest moves in the opposite direction of the rest of the chest during respirations. Xtra points: this indicates what injury?
What is paradoxical movement & flail segment?
500
an appropriate secondary assessment for a medical PT who is responsive & A&OX3.
What is a Modified secondary assessment (focused on the chief complaint & S/S)
500
Jerky eye movement usually a result from drug or CNS problems.
What is nystagmus?