Scene Survey
Primary Assesment
ABC's & O2
Secondary Assessment
100

The top priority as a first responder

Keep yourself safe!! :) 

100

Breathing assessment

  • Rate, rhythm, depth, smell

  • Give oxygen if irregular (at END of primary, or have one responder set up while the other does primary)

200

4 additional resources you can use on call

-security

-your fellow responder

-peer support center

-call an exec member

-COR

-student wellness centre

-emergency services 

200

AVPU

  • Alert


    • Open eyes, can initiate conversation, etc.

  • Verbal


    • Responds to verbal stimuli

  • Pain


    • Responds to pain (trap squeeze)

  • Unresponsive

200

The PSI for oxygen delivery 

  • Breathing above 24, under 8

  • Irregular breathing

200

SAMPLE

  • Restate chief complaint and responder impressions

  • Signs and Symptoms


    • What you see, what the patient feels

  • Allergies

  • Medication

  • Past Medical History


    • Relevant history

  • Last oral intake

  • Events prior


    • What happened leading up to call/situation

300

What warrants a critical intervention

Problem with ABC's

300

When to administer oxygen

  • Breathing above 24, under 8

  • Irregular breathing

  • at END of primary, or have one responder set up while the other does primary (or after transport decision if alone)

300

The Purpose of Secondary Assessment

  • Gather more information

  • Catch anything you missed in Primary

  • Treat injuries

400

The purpose of the primary assessment

  • Determine chief complaint, condition of casualty, life-threatening injuries, and transport decision

  • Perform critical interventions

400

Nasal Cannula vs Partial Non-Rebreather

-6L/min and below use Nasal Cannula, anything above use partial non-rebreather

500

The full scene survey 

  • Environment


    • Hazards to you or your patient

  • Mechanism of injury (MOI)


    • How patient was injured

  • Count casualties

  • Call out to bystanders

  • Caution to stay still


    • In case of c-spine injury

  • obtain Consent

  • Additional resources

  • PPE

500

Steps in Primary Assessment

  • Chief complaint

  • AVPU

  • ABC

  •  Rapid Body Survey

  • Transport decision

500

Circulation Assessment

  • Rhythm, strength

  • Equal on carotid and radial

  • Skin color, moisture, temperature

500

OPQRST

  • Onset

    • How quickly the pain started: Immediate, delayed, gradual

  • Provocation/Palliation

    • What makes it better/worse

  • Quality

    • A descriptor for how it feels

  • Region & radiation

  • Severity

  • Time since onset/Time of injury