EMT Psychomotor Skills checklist Flashcards
Scene Size-Up
Appropriate PPE Scene Safe? Determine MOI/NOI Number of Patients Additional EMS Needed? Consider Spinal Stabilization
Medical Assessment
Primary Assessment/Resuscitation
Verbalize General Impression of patient Determine L.O.C./AVPU Determine Chief Complaint/apparent life- threat Assess airway/breathing Assess circulation Identify patient priority & make treatment/transport decision *note GCS
Medical Assessment
Assess Airway/Breathing
Assessment
Assure adequate ventilation (rate &
volume)
Initiate appropriate oxygen therapy
Medical Assessment
Assess Circulation
Assesses/controls major bleeding Check pulse (rate, quality & regularity) Assesses skin (color, temp & condition)
Medical Assessment
History Taking
History of present illness - OPQRST &
clarifying questions about signs &
symptoms related to OPQRST
Past medical history - SAMPLE
(onset, provocation/palliation, quality, radiation, severity, time)
(signs & symptoms, allergies, medications, past pertinent medical history, last oral intake, events leading up to present event)
Medical Assessment
Secondary assessment
Assesses affected body part/system
cardio, pulmonary, neuro,
musculoskeletal, integumentary, GI/GU,
psycho/social
Medical Assessment
Vital Signs
BP, Pulse rate & quality, Respirations rate &
quality
State field impression of patient
Verbalize proper interventions/treatments
Medical Assessment
Reassessment
How & when to reassess to determine
trend
Verbal report to arriving EMS
Verbal Report/Telemetry
Age & sex of patient C - chief complaint/MOI H - history I - interventions V - vital signs (BP, P, R, SPO2 & GCS) E - ETA/enroute/transport location decision
Trauma Assessment
Primary Survey/Resuscitation
Scene size-up
Verbalize general impression of patient
LOC/AVPU
Determine chief complaint/apparent life
threat
Airway - opens & assesses, insert adjunct
if needed
Breathing - assess, assure adequate
ventilation, initiates appropriate
O2 therapy, manage injuries
compromising breathing
Circulation - pulse, skin, control bleeding,
treat for shock
Identify patient priority & make transport
decision under 10 min. based on
GCS
Trauma Assessment
History Taking
Obtain baseline vitals (BP, P & R)
Attempt to obtain SAMPLE history
Trauma Assessment
Secondary Assessment
Head to Toe Head - inspect & palpate scalp & ears, assess eyes, look in/at mouth, nose & face Neck - trachea, jugular vein, feel C-spine Chest - inspect & palpate thorax, auscultate lungs Abdomen/Pelvis - inspect & palpate abdomen, assess pelvis, verbalize any need for genitalia assessment Legs - inspect & palpate, assess distal motor, sensory function & circulation Arms - inspect & palpate, assess distal motor, sensory function & circulation Posterior - inspect & palpate back, lumbar & buttocks Manage secondary injuries & wounds appropriately
Trauma Assessment
Reassessment
Explain how & when to reassess patient based on current assessment
Bleeding Control/Shock Management
Verbalize PPE Apply Direct Pressure Apply Tourniquet if needed Properly Position Patient Administer High Concentration O2 Take Steps to Control Heat Loss State Need for Immediate Transport
Cardiac Arrest Management/AED
PPE & Scene Safety
Check responsiveness
Direct partner to get AED & request ALS
Check breathing & pulse simultaneously
under 10 seconds
Begin compressions - 30/2, 5cycles
Reassess pulse & breathing up to 10 sec
Resume compressions
Power on AED, follow prompts & attach
AED pads to patient properly
Stop CPR for AED to analyze rhythm
Ensure all clear & deliver shock
Immediately directs rescuer to resume
compressions
