ABCDE and history taking Flashcards
How should you initiate a patient assessment?
- introduce yourself
- ask PT’s name
- ask presenting complaint
- explain the need for an assessment
- GET CONSENT
What scale is used to assess a patients response?
AVPU
GCS on disability
What information should you gather on approach?
Non-verbal indicators
How does the patient look?
What 2 checks indicate a patients airway is clear and patent?
- They are talking with ease
2. Visually inspect
What checks make up a breathing assessment?
RIPPAS (P) -RR -Inspect -Palpate -Percuss -Auscultate -SP02 (Peak flow if required)
What checks make up a circulatory assessment
BiCEPS
- Blood pressure
- Capillary refill
- ECG
- Pulse
- Skin
What checks are included in a Disability assessment?
BFG TP
- Blood Glucose
- FAST (if indicated)
- GCS
- Temperature
- Pupils
What are the 3 parts to a GCS assessment?
EVM
Eyes (4)
Voice (5)
Motor (6)
What are the parts of a fast test?
Face (puff cheeks and smile)
Arms (raise and squeeze hands)
Speech (slurred - purple hippopotamus)
Time (of onset)
What does ‘E’ stand for?
Expose
Examine
Enquire
What is the pain assessment pneumonic?
SOCRATES
Socrates
Site - where exactly is the pain
sOcrates
Onset - What were you doing when this started?
soCrates
Character - Aching/burning/With movement etc
socRates
Radiates
socrAtes
Associated symptoms (fever, chills nausea)
socraTes
Time (onset and duration)
socratEs
Exacerbating (and relieving) factors
- movement.
- passing stools etc
socrateS
Severity - scale and monitor
What does the pneumonic SAMPLE stand for?
Signs and Symptoms Allergies Medications Past medical history Last eaten and drank Events prior
What are the 4 main points to cover when taking patient history?
- History of the complaint
- AMPLE
- Social history
- Family history
What checks make up E?
Expose and Examine
- Limbs
- Back
- Skin
- Abdomen
Enquire
- bowels, urinary, nausea, been sick?
- SAMPLE
- History
Of complaint
Family
Social
- Pain?
