Ch. 9 Practical Info

Question 1

Scene Size-Up:

1. …
2. …
3. …
4. …
5. …
6. …

Answer 1

scene safety; 
PPE/BSI; 
MOI/NOI; 
# of patients; 
Additional resources; 
consideration of C-spine

Question 2

Primary assessment:

1. …
2. …
3. …
4. …
5. …
6. …
7. (trauma only) …
8. ….

Answer 2

general impression 
mental status
chief complaint
airway
breathing
circulation 
rapid scan
priority

Question 3

(primary assessment) mental status checked by: …

If A move onto … (…, …, …, and … (last for trauma only))

Answer 3

AVPU; orientation; person; place; time; event

Question 4

(primary assessment) For trauma, blood sweep is performed ….

Answer 4

before ABCs during CC assessment

Question 5

(primary assessment) if severe bleeding is found during blood sweep, order of ABCs becomes …

Answer 5

CAB

Question 6

(primary assessment) when assessing breathing, take … - … for trauma and … for medical
apply … now and decide whether you will ventilate/oxygenate

Answer 6

2 lung sounds; mid-clavicular; mid-axillary; pulse ox

Question 7

primary assessment is followed by ..

Answer 7

history and vitals

Question 8

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)

Answer 8

SAMPLE; SOPQRSTAMPLE;

Question 9

S: … 
O: … --> sudden/gradual
P: … --> does anything make it better/worse?
Q: …. 
R: …
S: … 
T: … 
A: … 
M: … 
P: … 
L: … 
E: …

Answer 9

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

Question 10

Specialty assessment
Difficulty breathing: …
Stroke: …

Answer 10

PASTE; FAST

Question 11

P: … 
A: … 
S: … 
T: … 
E: …

Answer 11

progression (combo of onset, provocation, and timing0 
associated chest pain 
sputum (associated w/ CPAP)
talking tiredness
exercise tolerance

Question 12

F: ..
A: …
S: …
T:…

Answer 12

facial droop
arm drift
slurred speech
time

Question 13

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

Answer 13

detailed; focused assessment

Question 14

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

Answer 14

DCAP-BTLS; 
jaw and cheekbones
CSP
battle signs 
raccoon eyes
strange odors
vertebrae
JVD; tracheal deviation; subcutaneous emphysema
jewelry

Question 15

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.

Answer 15

clavicles; sternum 
6 LS
rib sweeps
rise and fall
distension; rebound tenderness; rigidity

Question 16

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)

Answer 16

downward and inward
priapism
joints
distal pulses; motor and sensory; 
strength

Question 17

D:
C:
A: 
P: 
B: 
T: 
L: 
S:

Answer 17

deformities
contusions
abrasions
punctures/penetrations
burns
tenderness
lacerations
swelling

Question 18

(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

Answer 18

jaws; cheekbones
vertebrae
JVD; tracheal deviation; stomas; subcutaneous emphysema
jewelry 
cervical collar

Question 19

(rapid scan) 
assess chest: 
- check … and …--> assess for DCAP BTLS
- …--> mid clavic
- .. 
- … for chest rise and fall 
assess abdomen: 
- palpate, checking for …, …, …, etc

Answer 19

clavicles; sternum
2 LS
rib sweeps
butterfly
distension; rebound tenderness; rigidity

Question 20

(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

Answer 20

distal pulses; motor; sensory;

6 LS

Question 21

(vitals)
pulse in adults: … - …
children: .. - …
resp. rate in adults: … - .. breaths/min
blood pressure in adults: < … systolic and < … diastolic

Answer 21

60; 100;
70; 100
12-20
120; 80

Question 22

secondary- medical: 
respiratory system: 
- expose chest
- check again for ..
- examine chest for … and …
- …, …, and .. 
- quality of breathing

Answer 22

airway obstruction
symmetry; lung sounds
resp rate,; tidal volume; effort

Question 23

secondary- medical: 
cardiovascular system: 
- auscultating, palpating, and observing for abnormalities in … region
… and …
… 
… 
…

Answer 23

thoracic; 
pulse and resp rate
skin CTC
distal pulses
blood pressure

Question 24

secondary- medical: 
neurologic system: 
- … and …
- …. GCS (ch. 17) 
- … 
- assess … status- bilateral muscle strength, sensory and motor, pulse, …

Answer 24

LOC; orientation
Glasgow coma scale
pupils (PEARRL)
neurovascular; capillary refill

Question 25

reassess every … mins for unstable and … for stable
reassessment entails: 
repeat ... and …
reassess … 
recheck … 
identify and treat …

Answer 25

5; 15;
primary assessment; vitals; CC
interventions
changes