Ch. 9 Practical Info Flashcards
Scene Size-Up:
- …
- …
- …
- …
- …
- …
scene safety; PPE/BSI; MOI/NOI; # of patients; Additional resources; consideration of C-spine
Primary assessment:
- …
- …
- …
- …
- …
- …
- (trauma only) …
- ….
general impression mental status chief complaint airway breathing circulation rapid scan priority
(primary assessment) mental status checked by: …
If A move onto … (…, …, …, and … (last for trauma only))
AVPU; orientation; person; place; time; event
(primary assessment) For trauma, blood sweep is performed ….
before ABCs during CC assessment
(primary assessment) if severe bleeding is found during blood sweep, order of ABCs becomes …
CAB
(primary assessment) when assessing breathing, take … - … for trauma and … for medical
apply … now and decide whether you will ventilate/oxygenate
2 lung sounds; mid-clavicular; mid-axillary; pulse ox
primary assessment is followed by ..
history and vitals
History:
For trauma, obtain a … history if possible and take a baseline set of vitals before secondary assessment
For medical, obtain a … history and take first set of vitals while obtaining this history (for class, though, questions will be done before vitals–make it clear you know both would be going on at same time)
SAMPLE; SOPQRSTAMPLE;
S: … O: … --> sudden/gradual P: … --> does anything make it better/worse? Q: …. R: … S: … T: … A: … M: … P: … L: … E: …
signs/symptoms onset provocation/palliation quality region/radiation severity timing (is symptom constant? when did it start) allergies meds pertinent past medical history last oral intake event
Specialty assessment
Difficulty breathing: …
Stroke: …
PASTE; FAST
P: … A: … S: … T: … E: …
progression (combo of onset, provocation, and timing0 associated chest pain sputum (associated w/ CPAP) talking tiredness exercise tolerance
F: ..
A: …
S: …
T:…
facial droop
arm drift
slurred speech
time
After history move into secondary assessment:
for trauma this will be a more … physical exam
for medical, this will typically be a … informed by CC
detailed; focused assessment
Secondary assessment-trauma:
assess head and neck:
- palpate head for …
- check … and … (on face)
- check ears and nose for …
- check for … on ears–> indicates fracture in skull
- check for .. –> blood collecting in that region
- check mouth for broken teeth, …
- check … on back of neck
- check for … and …, and … on neck
and check … to make sure its not medic tag
DCAP-BTLS; jaw and cheekbones CSP battle signs raccoon eyes strange odors vertebrae JVD; tracheal deviation; subcutaneous emphysema jewelry
Secondary assessment-trauma: assess chest: - check … and …--> assessing for DCAP-BTLS - .. - .. sweeps --> check each individual bone - butterfly for chest … and … Assess abdomen: - palpate, checking for .., …, …, etc.
clavicles; sternum 6 LS rib sweeps rise and fall distension; rebound tenderness; rigidity
secondary assessment-trauma:
assess pelvis:
- compress pelvis … and .., push one side down to see if other rises on its own
- assess for DCAP-BTLS
after pelvis, check for … in male patients–> indicative of head injury
assess extremities:
- DCAP-BTLS
- assess … now! (patella, elbows, knuckles)
- …, … and … functions
- … (squeeze fingers, pedal for feet)
downward and inward priapism joints distal pulses; motor and sensory; strength
D: C: A: P: B: T: L: S:
deformities contusions abrasions punctures/penetrations burns tenderness lacerations swelling
(rapid scan) assess head and neck - palpate for DCAP BTLS - check … and … on face - check all … on back of neck - check for …, …, and …, as well as … on neck - check … for medic tag apply … now
jaws; cheekbones vertebrae JVD; tracheal deviation; stomas; subcutaneous emphysema jewelry cervical collar
(rapid scan) assess chest: - check … and …--> assess for DCAP BTLS - …--> mid clavic - .. - … for chest rise and fall assess abdomen: - palpate, checking for …, …, …, etc
clavicles; sternum 2 LS rib sweeps butterfly distension; rebound tenderness; rigidity
(rapid scan) assess pelvis: compress pelvis down and in, push one side down to see if other rises on its own DCAP BTLS assess extremities: ; dcap-btls .., …, and … functions log roll and check back**(not entirely sure) …. on back
distal pulses; motor; sensory;
6 LS
(vitals) pulse in adults: … - … children: .. - … resp. rate in adults: … - .. breaths/min blood pressure in adults: < … systolic and < … diastolic
60; 100;
70; 100
12-20
120; 80
secondary- medical: respiratory system: - expose chest - check again for .. - examine chest for … and … - …, …, and .. - quality of breathing
airway obstruction
symmetry; lung sounds
resp rate,; tidal volume; effort
secondary- medical: cardiovascular system: - auscultating, palpating, and observing for abnormalities in … region … and … … … …
thoracic; pulse and resp rate skin CTC distal pulses blood pressure
secondary- medical: neurologic system: - … and … - …. GCS (ch. 17) - … - assess … status- bilateral muscle strength, sensory and motor, pulse, …
LOC; orientation
Glasgow coma scale
pupils (PEARRL)
neurovascular; capillary refill
