Scene Size Up
he critical interval during which emergency personnel assess the situation and decide to initiate treatment or transport
What is the Platinum 10 minutes
On the AVPU scale, tell what "V" stands for and give and example of a patient that is demonstrating this level of consciousness.
Verbal/Voice: Patient makes some kind of response when you talk
What are patients with an MOI consistent with Trauma?
What is a Secondary Assessment, only done after life-threatening conditions have been addressed?
Anisocoria can be congenital or a sign of this condition.
What is a brain bleed/head trauma?
A set of infection control practices used in healthcare to reduce the risk of spreading diseases, including wearing nitrile gloves, gown, or protective barriers with CPR.
What are Standard Precautions
Four parts to forming a general impression
What are:
- identify life-threatening conditions
- immobilize potential cervical spine injuries
- Rapidly assess for severe external bleeding
- Begin treatment immediately
The symptom or condition that is most serious and that is most concerning to the patient
What is Chief Complaint?
Explain how to assess perfusion and what abnormal findings are
What are capillary refill or pulse oximetry, skin color. Abnormal cap refill >2sec, Pulse Ox <95%, skin pale and cool?
Acronym for a normal pupil reading
What is PEARL?
Initial contact with the patient in which provider gets an overview of patient’s general appearance and level of distress
What is General Impression?
The actions of the healthcare provider if a life-threatening condition is identified in the General Impression
What is activate EAP Immediately?
Give what the Acronym SAMPLE or OPQRST stands for (only one)
Signs/Symptoms, Allergies, Medications, Past Illnesses, Last oral intake, Events leading up to present injury/illness.
Onset, Provocation, Quality, Region/radiation, Severity, Time
Pain scales measure objective or subjective pain assessments (pick one)
What is subjective?
What are
Initial assessment
Baseline and serial vital signs
Chief complaint or new complaints
Response to treatment or interventions
Expression of an illness or disease and its meaning(s) to the patient and significant others.
What is Nature of Illness? (NOI)
Three ways to assess Airway and Breathing in the Primary Assessment
What are look, listen, and feel?
A head-tilt, chin lift maneuver should be done in this situation during the airway assessment
What is when there is no suspected cervical spine injury and the patient is unresponsive/unconscious during airway assessment.
The blood pressure reading when the heart is contracting (systolic or diastolic)
What is systolic pressure?
Length of time vitals should be reassessed for stable and unstable patients
What is 15min for stable, 5 min for unstable.
Three considerations for rapid transport
Shortness of breath
Spine injury
Vision changes or difficulty
Vomiting that is severe or persistent
Head injury
Ingestion of poisonous or toxic substance
Loss of consciousness or fainting (syncope)
Pain that is sudden or severe
Unresponsiveness (no gag or cough reflex)
Responsive but not following commands
Mental status changes
Shock (hypoperfusion) or uncontrolled bleeding
Severe pain in any location or sudden onset of:
Abdominal pain or pressure
Breathing that is abnormal, difficult, or painful
Chest pain with systolic BP <100 mm Hg
Choking
Coughing up or vomiting blood
Procedure for assessing circulation in the primary assessment, and also what to do if there is no circulation present.
What is check pulse at carotid or radial artery for a minimum of 5 seconds, maximum of 10 seconds with index and middle fingers. If one cannot be found, initiate the EAP, call 911, begin CPR, and find AED as soon as possible?
This is how to assess for life-threatening bleeding
What is do a quick sweep with gloved hands over the body, checking for blood on gloves, stabilize the C-spine and log roll to assess the posterior aspect?
What are: 120/80, 12-20, 60-80?
FINAL JEOPARDY:
In order, list the 5 main steps to an Emergency Examination and the main portions of each Step
See Board!!!