Assessment

Question 1

Assessment Concise

Answer 1

En-route:
Size-up:
Head-to-toe
R: 
X
A
B
C
D 
Call Type/PQs
P
Secondary 
Transporting
Arriving
Hand-off

Question 2

En-route

Answer 2

1. Location/ER
2. PPE/High Vis
3. Nearest hospital?
4. OS/FOS
5. Radio
6. Watch

Question 3

Size-up:

Answer 3

1. Hazards
2. Pt’s
3. Resources
4. Vehicle(s)

Question 4

Head-to-toe

Answer 4

Sick/not sick

Question 5

R:

Answer 5

R: Paramedics, my name’s Don. Tell me your name?

a. No response: Hey can you hear me?
i. Sternal rub/GCS
ii. Pulse and breathing check
1. Pulse Y/N
2. Breathing: Breath, 60, 30, 20, 15, 12, 10, slow
a. Depth/Cyanosis
b. BVM/NRB
iii. XAD, P
b. A/V: Nice to meet you ____. (HS).
i. What seems to be the problem?/Can you tell me what happened?
1. What’s bothering you the most right now?
2. Any pain, difficulty breathing, weakness, lightheadedness, N/V?
3. Prior event: How long ago did this happen?
ii. I’m going to take your pulse ok?
1. XABCD

Question 6

X: Y/N

Answer 6

1. Limb: Tourniquet
2. Junction: Packing
3. Trunk: Pressure 4x4s/Gauze Roll

Question 7

A: Y/N

Answer 7

1. Listen
2. Look
3. Suction/Adjunct

Question 8

B: Y/N

Answer 8

1. Rate/Depth
2. WOB/Cyanosis
3. BVM/NRB/NC

Question 9

C: Y/N

Answer 9

1. Pulse: Rate/Quality
2. Skin: CTM
3. Shock management: Warm/Supine

Question 10

D: Y/N

Answer 10

1. Orientation/GCS
2. Pupils
3. Bystander Hx

Question 11

Call Type/PQs

Answer 11

1. Chest pain:

2. Behavioral/Psych

Question 12

P

Answer 12

1. Stable/Unstable
2. Spine
3. Moving

Question 13

Secondary

Answer 13

1. Buckles/ALSBLS | 30 sec
2. RT/LS/Pupils/ETCO2 | 1 min
3. Chem/IV | 1 min
4. Copy vitals/12 | 1 min
5. Hx Medical/Trauma | 2 min
6. Exam | 1 min
7. Impression/Interventions | 1 min
8. Destination | 15 sec

Question 14

Transporting

Answer 14

1. RR | 2 min
2. Reassess | 1 min
3. IV | 1 min
4. ID: Full name, DOB, Address, Phone number | 1 min

Question 15

Arriving

Answer 15

1. Remove equipment: 30 sec
2. Switch Oxygen: 15 sec
3. Mask: 15 sec
4. Buckles: 15 sec
5. Belongings feet: 15 sec
6. Bring: Interventions/Meds/ID: 15 sec
7. Sig: 30 sec

Question 16

Hand Off

Answer 16

1. Put your stuff down
2. Put pt’s stuff down
3. Prep bed
4. Lower rail/Unbuckle
5. Move pt
6. Raise rails
7. Pick your stuff up

Question 17

Bystander hx

Answer 17

1. Can you tell me what happened?
2. How do you know the pt?
3. Hx Medical/Trauma
4. ID: Full name/DOB/Address/Phone number

Question 18

Hx Medical

Answer 18

Hx Medical

1. A
   a. Any allergies?
2. M
   a. What medications are you/they taking?
   b. Is there a list or bag of medications we can take with us?
   c. Any recent change in medications?
   d. Have you/they been taking all medications as prescribed?
3. P
   a. Do you/they have a history of any medical problems?
   b. Any recent sickness, hospitalizations or surgeries?
   c. Do you/they have a history of any drug or alcohol abuse?
   d. Has this happened before?
   i. What resolved the problem the last time this happened?
4. L
   a. LSN
   i. When’s the last time you saw them acting normally?
   ii. Normally do they know who they are, where they are and what month it is?
   b. Pregnancy:
   i. Is there any chance you/they’re pregnant?
   ii. I have to ask, when was your last period?
   iii. Pregnancy PQ’s
5. E
   a. Leading up to this, what was going on?
   b. Any recent head injury?

Question 19

Hx Trauma

Answer 19

1. A
   a. Any allergies?
2. M
   a. Are you currently taking any blood thinners?
3. P
   a. Any bleeding or clotting disorders?
   b. Any heart, lung or kidney problems?
4. E
   a. Experiencing any problems prior to the crash?

Question 20

Pregnancy PQ’s:

Answer 20

1. How many weeks?
2. Have you been seeing a doctor regarding this pregnancy?
3. Have there been any complications?
4. How many times have you been pregnant?
5. How did your first/second/third/fourth pregnancy?

Question 21

Stable/Unstable

Answer 21

a. Unstable:
i. We’re going to take you to the hospital.
ii. Nearest/Trauma Designation
1. Due to your/their condition, time is of the essence, and we have to take you/them to the nearest hospital which is….
2. Trauma 1: Due to your/their condition, we have to take them to ______ which is the best equipped to care for them.
b. Stable:
i. Age
ii. Would you like to go to the hospital?
iii. You don’t have to go if you don’t want to but would it be ok if we took your vitals and I asked you a few more questions just to make sure you’re doing ok?

Question 22

Spine

Answer 22

a. Neck/Back/Buttocks

b. Collar/Board

Question 23

Moving

Answer 23

a. Partner: ALS, Get me vitals/monitor/12-lead/Temp
b. Partner: BLS, get me vitals/temp/chem
c. Me: RT/LS/Pupils/ETCO2

Question 24

Buckles/ALS or BLS

Answer 24

a. ALS: We’re going to put some stickers on you to look at your heart and we’re going to get an IV started to give you certain medications or fluids if we need to.
b. BLS: We’re going to take your vitals and check your blood sugar.

Question 25

Chem/IV

Answer 25

Have you had an IV before?

Question 26

Vehicle(s)

Answer 26

``` 1. Type (Rollover, side impact (driver/passenger side), Front impact, rear impact) 2. Damage: (minor, moderate, severe) 3. Intrusion 4. Airbags 5. Windshield/Dashboard ```