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
compressionsLong Bone Immobilization
PPE
Direct manual stabilization of injured area
Assess distal motor & sensory functions &
circulation
Measure splint
Apply splint
Must immobilize joint above & below
Secure entire extremity
Immobilize hand/foot in position of
function
Reassess distal motor & sensory functions
& circulationJoint Immobilization
PPE
Direct manual stabilization of injured area
Assess distal motor & sensory functions &
circulation
Select proper splinting material
Immobilize site of injury including bones
above and below joint
Secure entire extremity
Reassess distal motor & sensory functions
& circulation
O2 Administration by Non-Rebreather Mask
PPE
Gather equipment
Crack valve on tank
Assemble regulator on tank (ensure "O"
ring is in place)
Open tank valve
Check tank pressure
Check for leaks
Attach mask to correct port on regulator
Turn on O2 & prefill reservoir bag
Adjust regulator to 10L/m or more
Attach to patients face & adjust strapBVM Ventilation of Apneic Adult
PPE
Check responsiveness & Request ALS
Check breathing & pulse at same time
under 10 seconds
Open Airway
Prepare suction catheter
Turn suction on or retrieve manual suction
device
Insert catheter without suction activated &
suction no more than 15 sec.
Announce "mouth & oropharynx clear"
Reopen airway manually and insert OPA
Ventilate immediately (must be under 30
sec.
Recheck pulse under 10 sec. & connect
BVM to O2 @ 15L/m
Ventilate - 10-12 breaths p/m w/visible
chest riseGCS
how to calculate score
EYES Spontaneous - 4 To speach - 3 To pressure - 2 None - 1 VERBAL oriented speech - 5 confused speech - 4 misc. words - 3 sounds - 2 none - 1 MOTOR obey commands - 6 localizing pain - 5 normal flexion - 4 abnormal flexion - 3 extension - 2 none - 1
