Assessments Flashcards
1
Q
Primary Assessment
A
X - major bleeding A - Airway B - Breathing C - Circulation D - Da head/ Da spine, decision, E - exit/environment
2
Q
Secondary Assessment
A
Trauma: Head-to-toe physical DCAPBLTS OPQRST SAMPLE Vitals
Medical: SAMPLE OPQRST Head-to-Toe physical DCAPBTLS Vitals
3
Q
SAMPLE
A
S: S/Sx A: Ax M: Rx P: Hx L: last ins/outs E: Events leading to
4
Q
OPQRST
A
O: onset P: Provokes Q: Quality R: Region/ relief/radiate S: severity T: time
5
Q
DCAPBTLS
A
D: deformities C: contusions/crepitation A: abrasions B: bruising T: L: lacerations S:
6
Q
Respiratory System
A
History
Medications
Exertion Fluid build up Orthopena - can’t breath when laid down Cough Around sick COPD
Physical
- lung sounds
- mental status
- observe chest wall
- edema
- fever
7
Q
Scene size up
A
1: scene safe “I’m #1”
2: General impression “What happened to you?”
3: PPE “Don’t get any on me”
4: Resources/# of pts “How many more?”
5: Priority “Dead or alive?”
8
Q
Cardiovascular system
A
History
- cardiac condition
- previous episodes
- OPQRST for pain
Physical
- skin signs
- mental status
- pulse
- BP
- JVD
- palp chest
- pt position (guarding,breathing difficulties)
9
Q
Nervous system
A
History
- normal mental status
- tia/cva/Alzheimer’s/Lou Gehrig’s(ALS)/Guillain-Barre
Physical
- FAST
- CSM
- palp spine
- pupils
10
Q
Endocrine system
A
History
- DM2
- thyroid
- medications and when last taken
- last in’s/outs
- sick
- exertion
Physical
- mental status
- skin
- bgl
- medical devices (insulin pump)
11
Q
Gastrointestinal System
A
History
- in’s/outs (urine/bm/food/drink)
- OPQRST
- ibs/gout/reflux
- vomiting (what did it look like), hx of anorexia
Physical
- pt position
- palp abd
- inspect vomit/stool
12
Q
Immune System
A
History
- allergies
- exposure
- previous allergic reactions
- epipen?
Physical
- hives
- facial swelling
- point of contact w/allergen
- listen lungs, is there wheezing?
13
Q
Musculoskeletal System
A
History
- prior injuries to site/surgeries
- blood thinners
- did a medical issue cause trauma (dloc due to hypotension)
Physical
- DCAPBTLS
- palp injured areas
- asymmetry
- crepitation
14
Q
Unresponsive Pt
A
Rapid Physical Head Neck Chest Abdomen Pelvis Extremities (medical IDs!) Posterior
Vitals Pulse Resp Skin Pupils BP O2
ALS?
Mx SAMPLE Name BDay Events Pt acting like beforehand Pt complaints