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
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2
Q

Secondary Assessment

A
Trauma:
   Head-to-toe physical
   DCAPBLTS
   OPQRST
   SAMPLE
  Vitals
Medical:
   SAMPLE
   OPQRST
   Head-to-Toe physical
   DCAPBTLS
  Vitals
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3
Q

SAMPLE

A
S: S/Sx
A: Ax
M: Rx
P: Hx
L: last ins/outs
E: Events leading to
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4
Q

OPQRST

A
O: onset
P: Provokes
Q: Quality
R: Region/ relief/radiate
S: severity
T: time
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5
Q

DCAPBTLS

A
D: deformities
C: contusions/crepitation
A: abrasions
B: bruising
T: 
L: lacerations
S:
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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
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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?”

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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)
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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
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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)
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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
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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?
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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
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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
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