Scene Size up
paying attention to the conditions and people around you at all times and the potential risks those conditions or people pose
What is the purpose of the Primary Assessment?
Identify and begin treatment of immediate or imminent life threats
A patient is complaining of chest pain. While taking his history, what question would you ask for the R in OPQRST?
Is your pain localized or radiating?
What 6 vital signs should you acquire during this step?
BP, P. RR, SK, EY, SPO2
Scoop Stretcher
What is your response when a scene is UNSAFE?
What does AVPU stand for and what is its purpose?
Alert and awake, responsive to verbal stimuli, responsive to painful stimuli, unresponsive. Used to assess a patients level of consciousness
Give 2 clarifying questions for a cardiovascular condition
Cough?
Fever/chills?
Interventions?
Dyspnea
Battle sign
What 3 regions are you assessing during posterior?
Buttocks, posterior thorax, lumbar
When exiting your vehicle on the highway you must have on what?
High visibility Class 2 or 3 safety vest
If there is a potential for trauma, how should you open a patients airway?
Jaw-thrust maneuver
Asking a patient "Are you currently taking any medicines?" is part of what step in history taking?
M in SAMPLE
What are the 3 things that decrease blood pressure?
1.) Loss of blood/fluid
2.)Loss of vascular tone
3.) Cardiac pumping problem
How do you palpate your patients extremities?
Proximal to distal
MOI- mechanism of injury; trauma situations
NOI- Nature of illness; medical situations
While observing a childs breathing, you notice their chest lowers while their stomach inflates and vice versa. What type of breathing in this child experiencing?
Seesaw breathing
Sign- objective
Symptom- subjective
Your patients pulse is 50 BPM with constant 1 sec intervals. Is this rhythm considered regular or irregular?
Regular because the interval is constant
TERDS-P
T- Tenderness
E- evisceration
R- Rigidity
D- Distension
S- Surgical Scars
P- Pulsating Mass
What action should you take if you notice a handgun on the table while helping a patient?
Put yourself in between the patient and the potential danger
What takes priority: a profuse bleed or vomit in the airway
profuse bleed
Your 53 year old patient complains of chest pain and tightness but has no difficulty breathing. This is an example of what?
Pertinent negative
Your patient has spontaneous eye opening, no verbal response but can obey commands. What is his GCS score?
11.
Eye- 4
Verbal-1
Motor-6
While performing airway assessment you insert a oral pharyngeal adjunct but your patient does not tolerate what step should you take next?
Remove OPA and install a nasal pharyngeal adjunct.