Scene Size-Up
Primary Assessment
Assessment Principles and Practices
Vital Signs and Medications
Resuscitating Me or My Grade?
100

This is defined as the force that produced the injury, its intensity, and direction

What is mechanism of injury?

100

Finding this will lead to your primary assessment being more aggressive because of a higher potential for life-threatening problems, including vomitus or secretions in the airway and the need for ventilation.

What is altered mental status?

100

The frequency of reassessing a patient's primary assessment, pertinent history and secondary exam findings, and treatments/interventions administered

What are 5 minutes for unstable patients and 15 minutes for stable patients?

100

The primary function of nitroglycerin when administered to a patient

What is dilate coronary vessels?

100

The recommended compression rate for CPR on adults, children, and infants per minute

What is 100-120 compressions per minute?

200

This is defined as maintaining the awareness there may be other injuries

What is index of suspicion?

200

Name the two patient positions that indicate obvious signs of distress

What are the tripod position and Levine's sign?

200

The three primary techniques utilized during the physical assessment

What are observe, auscultate, palpate?

200

The primary action of epinephrine in treating anaphylaxis

What is constrict blood vessels and relax airway passages?

200

A portable device that checks the heart rhythm and can send an electric shock to the heart to try to restore a normal rhythm

What is an Automatic External Defibrillator (AED)?

300

Name the three primary means of determining a patient's nature of illness

What are the patient, family members or bystanders, and the scene?

300

Name the two maneuvers to open the airway

Head-tilt, chin-lift and jaw-thrust maneuver

300

The secondary assessment is based on these three elements.

What are physical examination, vital signs, and patient history?

300

Name the 9 Rights to medication administration and assistance

What are:
1. Right patient
2. Right medication
3. Right route of administration
4. Right dose
5. Right time/indication
6. Right documentation
7. Right education
8. Right response
9. Right to refuse

300

The three key features identified in the primary assessment of a cardiac arrest patient

What are unresponsiveness, apnea (absence of breathing), and absence of pulse?

400

Name the five sources of potential violence

What are:

1. Fighting or loud voices

2. Weapons visible or in use

3. Signs of alcohol or other drug use

4. Unusual silence

5. Knowledge of prior violence

400

During the primary assessment, what are the only three possible results of the pulse check that you'll be looking for?

Within normal limits, unusually fast, unusually slow

400

Name all components of DCAP-BTLS

What are:
D: Deformities, distension
C: Contusions, crepitation
A: Abrasions, avulsions
P: Punctures, penetrations
B: Burns, bruising
T: Tenderness
L: Lacerations
S: Swelling

400

Name eight vital signs that can be measured by BLS providers with concrete numbers:

What are pulse, blood pressure, respiratory rate, pupils, GCS, blood glucose, temperature, and pulse oximetry?

400

The condition where the heart's electrical system fails completely and no electricity is created

What is asystole?

500

The five (or six) components of scene size-up

What are:
1. Checking scene safety

2. Taking standard precautions

3. Noting the MOI/NOI

4. Determining number of patients

5. Requesting additional resources

6. Consideration of cervical spine precautions

500

Name all aspects of each component of the ABCs that are assessed during the primary assessment.

A: Is the airway open? Is the airway patent?
B: Is the patient breathing? Is the breathing adequate?
C: Does the patient have a pulse? What is the skin CTC? What is the capillary refill time? Is there any gross major bleeding?

500

The four ongoing treatments that may be continuous throughout the duration of a patient transport that will need ongoing reassessment

What are oxygen administration, bleeding control, spinal motion restriction, and splinting?

500

This is defined as a testing method that tells us indirectly how well the tissues are using oxygen (and performing other physiologic functions) by measuring the amount of carbon dioxide exhaled, called end-tidal carbon dioxide, or ETCO2.

What is capnography?

500

The primary cause of sudden cardiac arrest

What are dysrhythmias like ventricular fibrillation (v-fib) or ventricular tachycardia (v-tach)?