Day 1

Question 1

Scene assessment

Answer 1

Step 1 PAA

Hazards
Number of patients
Mechanism

Question 2

LOC

Answer 2

Level of consciousness

Step 2 PAA

AVPU
Alert
Verbal
Pain (did you pinch?)
Unresponsive

Question 3

Priority Action Approach

Answer 3

Scene Assessment
**911/WERP if you already know
LOC
911/WERP
Primary Survey
Transport decision
Secondary Survey

Question 4

Primary Survey

Answer 4

Step 4 PAA

(Did you activate ERP???)

C-Spine
Airway -open?
Breathing
Circulation
(D - Deadly Wound)
RBS (ASK bleeding under? Medical alert?)
Blanket
(Bandages)

Question 5

Secondary Survey

Answer 5

Step 6 PAA
Vitals
History
(Stop ABC again!)
Head to toe
Treatment
(ABC & possibly Vitals again)

Question 6

Vitals

Answer 6

Step 1 Secondary Survey

Note the Time
Respiration x4 15 sec - abdomen
Pulse x4 15 seconds
LOC/AVPU (yes AVPU again)
Skin condition

Question 7

History

Answer 7

Step 2 Secondary Survey

Chief complaint
Allergies
Medications
Medical History

(Do ABC again!)

Question 8

Head to toe

Answer 8

Step 3 Secondary Survey
(Did you do ABC?)

CSM 5 minutes
Circulation, Sensation, Motor Function

Check nose/ears, ankle temp, double pulse

Question 9

Treatment

Answer 9

Step 4 Secondary Survey

Treatment of non life threatening wounds

(ABC & Vitals again!)

Question 10

RTC- Mechanism of Injury (9)

Answer 10

Free fall from >6.5m (20ft)
Severe deceleration in vehicle
Pedestrian, motorcycle, or bicycle hit by car
Severe crush
Smoke/toxic gas
Decompression
Drowning
Electric injury

Question 11

RTC - Anatomy of Injury 12

Answer 11

Severe Brain injury:
Altered consciousness
Depressed Skull fracture
Penetrating injury
Pelvic fracture
Two + long bone fractures
Flail chest
Pregnant woman injuries
Burns
Amputation (except finger or toe)
Spinal cord, paraplegia, quadriplegia
Penetrating eye injury

Question 12

RTC - Primary Survey 14

Answer 12

Decreased LOC
Airway obstruction
Required assisted ventilation
Cardiac arrest
Suspected heart attack - over 30 min of chest issues
Circulatory shock (hypovolemic)
Tourniquet
Poison
Epilepsy
Stroke
Anaphylaxis - alergy shock
Hypothermia
Heatstroke

Question 13

AVPU

Answer 13

Alert
Verbal - patient responds to YOUR voice
Pain - pinch cuticle area
Unresponsive - airway/breathing