EMR ASSESSMENT

Critical Treatments

100

Before Approaching the scene we must check for this

Hazards

Wire, Fire, Water, Gas, Glass, any other dangers

200

We must delegate this before approaching our patient

C-spine control

300

Any respirations outside below 12 or above 20, or an Oxygen Saturation less than 95% requires this treatment

High flow Oxygen.  

400

This is the last opportunity you have to apply the cervical collar during your assessment

After assessing the Upper Extremities and before rolling the patient

500

When assessing the chest, we apply an occlusive dressing to this type of life threatening injury

Sucking Chest Wound

Patient Overview

100

We assess the patients eyes for this as we approach them for the first time

What is are the eyes open and tracking

200

We can assess these skin qualities before touching our patient

What is Skin condition and colour

300

These are obvious signs of respiratory distress

Tripod position, audible wheezes, increased work of breathing

400

We must do this if we identify deadly bleeding as we approach our patient

Delegate manual pressure and bleeding control

500

We can delegate these tasks as we begin our primary assessment

Vital signs and SAMPLE history

Primary Survey

100

These two scales help us determine Level of Consciousness

AVPU and GCS

200

We always ask our patients for this before we begin any assessment

What is Consent

300

These three questions are essential when beginning your assessment

Can you take a deep breath

Did you Hit your Head

Have you lost consciousness

400

We must determine this before we progress onto our head to toe assessment

What is the Chief Complaint

500

If the patient is not able to answer questions, we can use this to obtain additional information

Bystanders or family

Head to Toe

100

This is the acronym we use to remember the items we are visually looking for on an assessment

DCAPP-BLS

Deformities, contusions, abrasions, punctures, penetrations, burns, lacerations, swelling

200

This is the acronym we use to remember the things we are physically feeling for during an assessment

TIC

Tenderness, Instability, Crepitus

300

We use this acronym to remember specific assessments of the abdomen we are observing and feeling

DRT

Distension, Rigidity, and Tenderness

400

These sounds may be heard if our patient has trouble breathing

Adventitious sounds

500

This is the appropriate immediate management of a pulsating mass in the abdomen

observe and report but do not palpate

Critical Treatments 2.0

100

This is the appropriate treatment for an eviscerated organ

Clean, moist dressing.  DO NOT attempt to move organs back into body cavity

200

Paradoxical Chest movement is a sign of this kind of this critical injury

Flail Segment

300

This is the best way to assess a pelvis you suspect may be fractured

Gentle pressure on the outside of the pelvis pushing in.(never push down)

400

This is the proper way to treat an Impaled Object

Stabilize in place

500

We must attempt this one time if we do not feel a pulse when we assess a fractured limb

manual realignment