Assessment based management

Question 1

What are the factors that affect assessment and decsion making in the prehospital setting?

Answer 1

• Paramedic’s attitude
• Patient’s willingness to cooperate
• Distracting injuries
• Labeling and tunnel vision
• Enviroment
• Patient compliance
• Consideration of personnel availibility

Question 2

Outline effective techniques for scene and patient assessment and choreography?

Answer 2

Preplan to assign a team leader & a patient care person. Rotate roles among team members.

Question 3

What are the responsibilities of the “ Team leader” ?

Answer 3

• Maintain overal patient perspective and provide leadership to the team by designating task and coordinating transportation.
• Interpret the ECG,communicates with medical direction and relays drug orders.controle access to the drug box and document drug administration and effects during advanced cardiac life support

Question 4

What are the responsibility of the patient care person?

Answer 4

• Provide scene cover
• Gathers scene information and talkes to family members and bystanders
• Obtain vital signs
• Performs skils and interventions as requested by the team leader
• Acts as triage group leader in multiple-casualty situations.
• Administer drugs,monitors endotracheal tube placement and monitors basic life support interventions during advanced cardiac life support.

Question 5

What are the essential take-in equipment for airway controle?

Answer 5

• Endotracheal tubes,stylettes and tape
• Laryngoscope and blades
• Nasal airways
• Oral airways
• Rigid Yankauer and flexible suction catherters
• Suction unit(electrical or normal)

Question 6

What are the essential take-in equipment for breathing management?

Answer 6

• Large bore intravenous catherter for thoracic decompression
• Manual ventilation bag-valve-mask
• Mouth-powered ventilation device(pocket mask)
• Occlusive dressings
• Oxygen mask,cannulae, and extension tubing
• Oxygen cylinder and regulator
• Spare mask

Question 7

What are the essential take-in equipment for circulation management?

Answer 7

• Bandage and tape
• Blood pressure cuff and stethoscope
• Dressings
• Infection controle supplies(goggles and gloves)
• Intravenous fluid,catherters and tubing

Question 8

What are the strategies for patient approach that promote an effective patient encounter?

Answer 8

Resusitative approach:

• Recognise the need for immidiate interventions for patient with life-threathening problems.

Contemplative Approach:

• The paramedic must look actively for any problems that pose a threat to life.

Question 9

What is the technique for efficient and accurate patient hand over?

Answer 9

De- Demographics of the patient

M- Mechanism of injury

I- Injury sustained/ illness

S- Signs and Sympthoms

T-Time of incident and treatment

Question 10

How does assessment management contributes to effective patient and scene management?

Answer 10

• Assessment is the foundation of patient care
• To perform an effective assessment,the paramedic must be able to pull together many elements.
• These include pathophysiological principles and physical examanation findings.
• The paramedic intergrates these to form a field impression.
• Paramedic carries out a treatment plan for patient with common complaines