Scene Size Up
What are the three components of the scene size up?
Mehcanism of Injury, Safety, and Numbers
What systems are we evaluting during the primary assessment?
Circulatory
Respiratory
Nervous
What are the three parts of the secondary assesment?
Physical Exam, Sample, Vitals Assessment
What are the different Mechanisms of Injury (MOIs)?
Trauma
Medical
Environmental
What is the first system we should check? How?
The nervous system - AVPU. "Hey, hey, are you okay?"
During the physical exam, you should check for ROM and CSM. What do these stand for?
ROM - Range of Motion
CSM - Circulation, Sensation, Motor
What numbers are we assessing during our scene size up?
The number of patients. the number of rescuers, and the available resources
How should we treat someone who has an open airway but is struggling to breathe?
PROP
P - position of comfort
R - reassurance
O - Oxygen if possible
P - positive pressure (PPV)
What are some signs/symptoms of an unstable musculoskeletal injury?
Deformity, crepitus, instability on examp
Impaired circulation (ischemia)
Inability to use, feels unstable
What are two injuries we need to consider specifically with a trauma MOI?
Potential for TBI and/or spinal injury
When and how do we give CPR to an adult? (rate, depth, and ratio)
When they're not breathing and they don't have a pulse
100-120 bpm
30:2 (compressions:breaths)
2-2.4 inches deep
What does SAMPLE stand for?
Symptoms
Allergies
Medications
Past History
Lasts (ins and outs, menstrual cycle)
Events
Give an example for the three different potential MOIs
Trauma - car crash, bike accident, falling from a height
Medical - asthma, anaphylaxis
Environment - hypothermia, hyperthermia, lightning
What does AVPU stand for?
A - awake
V - patient responds to verbal stimulus
P - patieny responds to pain stimulus
U - patient is unresponsive
What are considered normal vital signs? (Pulse and respirations only)
Pule - 60 to 100 bpm
Resipirations - 12-20/minute