BASICS Flashcards
IMISTAMBO
Identification
Mechanims/medical complaint
Injuries/ Info related to complaint
Signs/symptoms
Treatment and trends
Allergies
Medications
Background hx
Other information
AEIOUTIPS
A – Alcohol (overconsumption or withdrawal), acidosis, ammonia, arrhythmia
E – Epilepsy (seizure), endocrine, electrolytes
I – Insulin (overdose in diabetic patients)
O – Overdose (drugs), oxygen, opiates
U – Uraemia (renal failure)
T – Trauma, temperature, thiamine
I – Infection (sepsis), insulin
P – Psychiatric condition, poisoning
S – Stroke/Shock, syncope,
Resp Status asessment (CAPERS)
Conscious state
Auscultate
pulse
effort
rate and rhythm
skin
Perfusion status assessment
Pulse
ECG
BP
Skin
conscious state
GCS
Best eye opening
Spontaneous 4
To command, speech or sound 3
To pain or pressure 2
None 1
VOICE
Orientated with normal content 5
Confused but speaks in sentences 4
Discernible words only 3
Groans/grunts only with no discernible words 2
None 1
MOVEMENT
Obeys commands 6
Localises or has purposeful movement 5
Withdraws from pain or normal flexion 4
Abnormal (spastic) flexion 3
Extension or rigid 2
None 1
OPQRST
Onset
Provoke/Palliative
Quality
Region and radiation
Severity
Timing
neuro status assessment
GCS
BEFAST
pupils
temp
Bgl
sensation
BEFAST stroke
balance
eyes
face
arms
speech
time
head 2 toe
head
pupild
airway
c spine
breathing
abdomen
arms (motor and sensory, cap refill)
pelvis
legs
trauma primary survey
DR CABCD
METANE
Major incident declares
exact location
type of incident
access and egress
number of casulities
emergency services needed and present
10:10
police required urgently
R23
dead
R25
radio transmission can be overheard
R26
police required state reason
R27
fire required state reason
R40
request radio contact with hospital
R49
cardiac arrest
R50
higher skills needed state why
R55
urgent clinical call plz
status 0
dead/black/white
status 1
immediate life threat/red
status 2
potential life threat/orage/yellow
status 3
unlikely threat/green
status 4
no threat/green
radio SITREP
identify unit
confirm patient status
other resources required and likely destination
SAMPLED HX
signs and symptoms
allergies
medications
past medical hisotry
last meal/ins/outs
events prior
ants criteria
ACSESS
NUMBER: pt at secene
TIME: time sensitive pt
SKILL: request skill required and why that skill is time sensitive
if you cannot call air desk over the radio state…
Request: main reason need help
Assessment: 2-1 sentence about pt condition
Specific skill:RSI, time critical, ect
first steps of managing a MCI
-decide who will be operations management and who will be trie offecer
- don appropriate vests and follow task card
what colour is status 0
black or white
what colour is status one
red
what colour is stat two
orange
what colour is stunts 3/4
green
cardiovascular exam includes
PSA, 12 lead
abdo exam includes
palpitation, auscultation nd isnpection
limb assessment includes
colour, warmth, pulse, cap refill, oedema, moment and sensation
what are the Rs of drug admisnteration
Right patient.
Right medication. Check the name of the medication,
Right dose. Check the prescription. …
Right route. …
Right time. …
Right patient education. …
Right documentation. …
Right to refuse.
explain romburgs test
Stand beside the patient and be prepared to assist if they stumble.
Ask the patient to stand with their feet together, place their arms by their side, get their balance and then close their eyes.
Observe how long the patient can maintain the stance. A patient with normal balance should be able to maintain the stance without stumbling for more than 15 seconds.
explain the timed up and go test
Seat the patient in a chair and mark a location three metres away. The patient should wear their regular footwear and use any regular walking aids.
Give the patient the following instructions. “When I say go I want you to stand up, walk to the line, turn around, walk back and sit down again”.
Begin timing on the word go and stop when the patient sits back down.
The timed up and go test is abnormal if the time is longer than 12 seconds.
During the timed up and go test observe the patient’s posture, gait and balance. Record any obvious abnormalities.
what is lead assessment broken down into
breathing, activity and circulation
