Critical Thinking Strategies Flashcards
Initial Considerations
- Dispatch notes
- Bystander/Patient account
Considerations when Approaching patient
- Body Position
- Are they tracking EMS?
- Emotional /Respiratory distress
- Skin colour/condition
- Angulated Fractures
- Pools of blood, urine, or feces
Initial Strategy
- Consider at least 2 life-threatening problems first
- Consider medical diagnoses that deal with the underlying organs of concern
- Consider why emergency services was activated
Assessment Strategy
- Evaluate life-threatening conditions first
- Evaluate non life-threatening conditions, starting with your suspected working diagnosis.
*You need to know what the problem is to choose the right treatment
What does Stridor indicate?
Impending airway failure
What does Pulmonary edema indicate?
Impending airway failure
What could a heart rate >150 or < 50 indicate>?
Cardiac rhythm disturbance
Situations where you would stop investigating and treat immediately
- Obvious trauma
- Obvious cardiac arrest
- Impending respiratory failure (COPD, asthma, CHF)
- Impending airway failure (FBAO, burns, anaphylaxis)
After you rule out life threats, what should you do?
Begin with suspected working diagnosis
No airway compromise
Open and clear
No breathing compromise
Easy, normal effort of breathing
No circulatory compromise
- Skin colour normal and dry
- HR between 50 and 150
No altered mental status
GCS 15, behaving normally according to societal expectations of situation