chapter 8 Flashcards
Scene Size-Up
is a general overview of the incident and its surroundings.
Primary Assessment
is to identify immediate life threats to the patient.
AVPU Scale
A = Awake and Alert
V = Responsive to Verbal
P = Responsive to Pain
U = Unresponsive
A = Awake and Alert
- The patient is awake, appears to follow commands, and answers
questions accurately and appropriately. - Ask the patient: Their name, current location, month, year, and approximate
date, what happened.
V = Responsive to Verbal
The patient can respond in some meaningful way when
spoken to; for example, by moaning, speaking, or moving.
P = Responsive to Pain
The patient moves or cries out in response to painful stimulus.
U = Unresponsive
The patient does not respond spontaneously or to a verbal or
painful stimulus
Primary Assessment Assess the airway
In an unconscious patient, you must open the airway.
(1) Head tilt/Chin lift
(2) Jaw Thrust
Primary Assessment Assess Skin Color
a. Pale
b. Flushed
c. Blue – Cyanotic
d. Yellow - Jaundice
SAMPLE History
S - Signs and Symptoms
A – Allergies
M – Medications
P – Pertinent Past Medical History
L – Last Oral Intake
E – Events Leading Up to the Injury or Illness
Signs of Primary Assessment
Something about the patient that you can see for yourself.
secondary assessment
is done to assess non-life-threatening conditions.
secondary assessment vital sings
- Respiration
- Pulse
- Capillary Refill
- Blood Pressure
- Skin Condition
- Pupil Size and Reactivity
- Level of Responsiveness
Respiration
- rate is 12 to 20 breaths per minute
(1) -8 is too low
(2) 30 is too high
Count the patient’s breaths for one minute
(1) Or count for 30 seconds and multiply by 2.
(2) Or count by 15 seconds and multiply by 4.