AEMT 14

Question 1

What are the 4 components of the patient assessment process?

Answer 1

1- Scene Size-Up
2- Primary assessment
3- Secondary Assessment
4- Reassessment

Question 2

What is done during Scene Size-Up?

Answer 2

Determine the scene is safe.

Formulate a general impression of the nature of the situation.

Question 3

When do you formulate your general impression?

Answer 3

During Scene size-up

Question 4

What are the operational aspects of the scene size up

Answer 4

Identify hazards, number of patients, and need for additional resources.

Question 5

What are the clinical aspects of the scene size up?

Answer 5

Determine NOI/MOI, get general impression including age, sex and responsiveness.

Question 6

What is included in the general impression?

Answer 6

Approximate age, sex, responsiveness, sick or well.

Question 7

What do you do if your scene is unsafe.

Answer 7

Correct hazard, control scene until deemed safe.

Question 8

BSI comes before?

Answer 8

My scene is safe.

Question 9

Primary Assessment includes?

Answer 9

Look for and manage life threats, establish priorites for treatment and transport.

Question 10

What do you do when the patient appears to be unresponsive?

Answer 10

Confirm level of responsiveness, determine if patient is breathing.

Question 11

What do you do if patient is unresponsive and not breathing?

Answer 11

Check for pulse.

Question 12

What do you do if patient is responsive in primary assessment?

Answer 12

Check ABC’s and determine chief complaint.

Question 13

After checking ABC’s and determining chief complaint what is the last step in primary assessment?

Answer 13

Interventions for life threats (ABC’s), determine if patient is critical or non critical. Priority of treatment and transport.

Question 14

If patient is unresponsive and has no pulse what do you do next?

Answer 14

Start chest compressions.

Question 15

If patient is unresponsive and has a pulse, what do you do?

Answer 15

Check for problems with ABC’s

Question 16

What is done during secondary assessment?

Answer 16

Vitals, obtain medical history, and look for additional signs of injury or illness.

Question 17

When you have a critical medical patient, what steps do you take in your secondary assessment?

Answer 17

Obtain history, rapid medical exam, baseline vitals and use monitoring devices, and preform head to toe exam as needed.

Question 18

When you have a critical trauma patient, what steps do you take in your secendary assessment?

Answer 18

Rapid trauma exam, baseline vitals and monitoring devices, head to toe exam, and obtain history.

Question 19

Non critical medical patient, what do you do in your secondary assessment?

Answer 19

Obtain history, focused physical exam, baseline vitals and monitoring devices.

Question 20

If you have a non critical trauma patient, what steps do you take in your secondary assessment?

Answer 20

Preform focused physical exam, baseline vitals and monitoring devices, and obtain history.

Question 21

What questions do you use to obtain history?

Answer 21

SAMPLE

Question 22

How do you obtain history if your patient is unable to give it to you.

Answer 22

Ask a bistandard, or family for any information they can give you.

Question 23

What do you do after you have finished your secondary assessment?

Answer 23

Reassess

Question 24

What is the first step you take in your reassessment?

Answer 24

Reassess primary assessment; LOC, ABC’s

Question 25

After reassesing your primary assessment, what steps do you take next?

Answer 25

Vital signs and monitoring devices. (start trending)

Question 26

What are the steps taken in the Reassesment?

Answer 26

Reassess: Primary assessment, vitals, aspects of physical exam, changes in complaints, and sepcific effects of treatment.

Question 27

What are all the critical components of the scene size up?

Answer 27

Establishing a safe scene, identifying the number of patients, and determining the need for additional resources.

Question 28

What are you checking when you reassess the primary assessment?

Answer 28

LOC and ABC's

Question 29

How often do you reassess a critial patient?

Answer 29

Every 5 minutes

Question 30

What is one of the first clinical goals of assessing a patient?

Answer 30

To detemine if the patients problem is medical or trauma.

Question 31

What does the general impression help you determine?

Answer 31

The urgency of the situation.

Question 32

What do you have to determine before before you know how to approach your primary assessment?

Answer 32

If the patient is responsive/unresponsive.

Question 33

You would check a pulse in your primary assessment if your patient was?

Answer 33

Unresponsive and not breathing.

Question 34

If your patient is in cardiac arrest you?

Answer 34

Immediatley start compressions and attatch him to an AED

Question 35

How do you determine the patients level of distress?

Answer 35

By preforming a systematic primary assessment.

Question 36

When would you first assess the ABC's

Answer 36

If the patient is awake, responds to voice or painful stimuli, or is uncontious and breathing.

Question 37

What is Agonal?

Answer 37

Ineffective breathing.

Question 38

What quickly follows after absent or agonal breathing?

Answer 38

Cardiac Arrest.

Question 39

How do you verify an assumed cardiac arrest if patient is unresponsive and not breathing?

Answer 39

Check for carotid pulse

Question 40

What happens when circulation is stopped?

Answer 40

The patient becomes unresponsive and stops or has ineffective breathing.

Question 41

When do you look for and correct immediate life threats during the primary assessment?

Answer 41

After confirming the level or responsiveness.

Question 42

Circulation is required for both?

Answer 42

Responsiveness and breathing.

Question 43

When do you decide the priority for patient care and transport?

Answer 43

After correcting any immediate life threats.

Question 44

In ABCD, what does D represent?

Answer 44

Disability

Question 45

In ABCD, Disability refers to patients?

Answer 45

Level or responsiveness or mental status.

Question 46

Determining the Disability is important early in the stage of assessment to help determine?

Answer 46

The seriousness of the situation.

Question 47

Mental status is also refered to as?

Answer 47

Disability

Question 48

It is important to comfirm your the level of consciousness when a patient appears to be unresponsive because?

Answer 48

They may be sleeping or obtunded

Question 49

If your patient is not alert and does not respond to your voice you would?

Answer 49

Use painful stimuli such as a sternum rub.

Question 50

A in AVPU represents

Answer 50

Awake and aware of surroundings

Question 51

V in AVPU represents

Answer 51

Responds to verbal stimuli

Question 52

During scene size up from an operational standpoint you determine what three things?

Answer 52

If the scene is safe, how many patients, and if additional resources are needed.

Question 53

What is your highest priority on an unresponsive patient?

Answer 53

checking for the absence of breathing and circulation.

Question 54

If oxygen does not reach the lungs to oxygenate the red blood cells what wil happen?

Answer 54

No oxygen will be delivered to the cells and the patient will axphyxiate and die.

Question 55

If inadiquate breathing is not corrected and the lungs are not being ventilated your patient will become?

Answer 55

Hypoxic

Question 56

If patient is pulseless you?

Answer 56

Start CPR

Question 57

When checking a pulse you are concerned with what three things?

Answer 57

If the pulse rate is within normal range, and its strength and reularity.

Question 58

Two considerations when assessing circulation?

Answer 58

1-Overall quality of the patient's perfusion. | 2- Control ongoing hemorrhage.

Question 59

What will uncontrolled hemorrhage lead to?

Answer 59

Shock and death.

Question 60

Patients with poor perfusion and significant bleeding are critical and require?

Answer 60

Rapid intervention and immediate transport.

Question 61

All other tasks and interventions are planned around what major intervention?

Answer 61

Getting your patient to the hospital.

Question 62

What kind of patients need you to quickly implement interventions to suport ABC's and get them to the hospital without delay?

Answer 62

Critial patients

Question 63

In a critical patient where would you continue the assessment and treatments after Primary assessment?

Answer 63

En route to the hospital

Question 64

Non critical patients need to be evaluated and treated at the hospital but do not require what?

Answer 64

Immediate intervention

Question 65

The airway is a concern in what assessment?

Answer 65

Primary

Question 66

Unresponsive ptients have threatened?

Answer 66

Airways

Question 67

Secondary assessment consists of what steps?

Answer 67

Medical history, base line virals, and physical examination

Question 68

An unresponsive patient should always be considered what?

Answer 68

Critical

Question 69

For a responsive medical patient you should start the secondary assessment with?

Answer 69

Obtaining medical history

Question 70

Medical history should be focused on what?

Answer 70

Patients cheif complaint

Question 71

Basing your physical exam on the information given about the patients condiciton is called

Answer 71

A focused physical exam

Question 72

For an unresponsive medical patient the first thing you do in the secondary assessment is?

Answer 72

Rapid physical exam to detect any serious problems that were not found in the primary assessment.

Question 73

While you are obtaining vitals on an unresponsive patient your partner should be doing what?

Answer 73

Getting history from family or bistanders

Question 74

En route if you did not determine a cause of the patients condition in an unresponsive medical patient through rapid physical exam, vital signs or history you should?

Answer 74

Do a complete head to toe exam

Question 75

How do you judge the severity of the patient's condition in a trauma patient?

Answer 75

Mechanism of injury and Primary assessment findings.

Question 76

Critical trauma patients means they have

Answer 76

life or limb threatening injuries

Question 77

For critical trauma patients it is important to do what while preparing them for transport?

Answer 77

Preform rapid trauma exam

Question 78

Time is of the essence in stabilizing what in critical trauma patients?

Answer 78

Life threats

Question 79

What is the purpose of the rapid trauma exam?

Answer 79

Further check vital areas fo the body for indications of potential life threatening injuries

Question 80

On a non critical trauma patient do you have to preform a detailed physical exam?

Answer 80

No you can do a focused physical exam focusing on the isolated injury.

Question 81

What continues throughout the call

Answer 81

assessments

Question 82

You will reassess a patient any time there is what?

Answer 82

A change in his condition.

Question 83

hypothetico-deductive approach to problem solving is what?

Answer 83

Collecting information, forming several hypotheses then proving or disproving each hypothesis to to narrow down the list.

Question 84

Heuristics: rule of thumb refers to what kind of critical thinking?

Answer 84

Assuming the most common cause.

Question 85

Seach satisficing is what?

Answer 85

Focusing on the first injury found when the patient might have a much more significant injury.

Question 86

Failure to pay sufficient attention to the possibvility that a patient has a medical problem because he has a history of psychiatric illness is known as what?

Answer 86

Fundamental attribution error or (Psych out)

Question 87

when something should be done but the provider hesites to do it is called

Answer 87

Omission error.

Question 88

Overtreating patients because it makes them feel better to do something is called?

Answer 88

Commision Bias

Question 89

Taking a piece of infomation revealed early in the assessment and making it more significant than it is is considered?

Answer 89

Anchoring

Question 90

The process in which experts typically identify a patients problem?

Answer 90

Recognizing patterns of patient presentations made familiar through experiance.