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GCS + Primary & Secondary Assessment Flashcards

1
Q

Name the nemonic

P.E.N.M.A.N

A
  • Personal Partner Patient safety
  • environmental hazard
  • Number of patients
  • MOI NOI
  • Additional Resources/equipment
  • Need for SMR(spinal mobile restriction)/extrication
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2
Q

Name the nemonic

A.V.P.U

A
  • Alert(person,place,time)
  • Verbal
    *Pain
  • Unresponsive (A.B.C.)
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2
Q

How do you check breathing? (A.B.C)

A
  • Rate(rapid/slow)
  • depth (shallow/deep)
  • breath sounds
  • oxygenation
  • ventilation
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3
Q

how do you check circulation? (COPS)

A
  • Capillary refill
  • Obvious bleeding
  • Pulse (rate rapid/slow & quality strong/weak)
  • Skin signs (Color, moisture, temp)
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4
Q

how do you formulate field impressions?

A

You take the info you gathered and say what you suspect
* Sick vs not sick
* Past,present,future
* Identify priority status

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5
Q

F.A.S.T (Stroke)

A
  • Facial droop
  • arm drift
  • slurred speech
  • time to go/time they were last seen normal
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6
Q

how do you check the airway? (A.B.C)

A

Patent or obstructed
Need for FBAO Maneuver or Suctioning

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7
Q

B.S.I

A

Body substance isolation

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8
Q

What comes after Scene size-up?

A

General Impression/Life threatening conditions

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9
Q

What comes after General Impression/Life threatening conditions?

A

Determine Responsivenes

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10
Q

What comes after Determine Responsiveness?

A

Patient rapport/consent
Life Threatening conditions

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11
Q

How do you Determine Responsiveness?

A

A.V.P.U

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12
Q

What comes after ABCs?

A

Disabilities/Deformities Deficits

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13
Q

What comes after Disabilities/Deformities Deficits?

A

Expose Chief Complaint

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14
Q

What is Go: Transport Decision

A

ALS vs BLS
Code 2 or 3
Destination (Most.Avail.Recev)

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15
Q

What are the steps in the primary assessment before ABCs?

A

BSI
Scene Size Up
General impressions/Life Threatening Conditions
Determine Responsiveness
Patient rapport/consent Chief Complaint

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16
Q

Name the nemonic

DCAPBTLS-IC

A
  • Deformities
  • Contusions
  • Abrasions
  • Punctures/Penetrations
  • Burns
  • Tenderness
  • Lacerations
  • Swelling
  • Instability
  • Crepitus
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17
Q

Name the nemonic

BELLSRP

A
  • Blood Pressure
  • Eyes
  • Lung Sounds
  • LOC (AEIOU-TIPS)
  • Skin Signs
  • Resperations
  • Pulse
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18
Q

How often do you reassess unstable paitents?

A

Every 5 min

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19
Q

How often do you reassess stable paitents?

A

15 min

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20
Q

Name the nemonic

SAMPLE

A
  • Signs & Symptoms
  • Allergies/Age
  • Medications
  • Pertinent Medical History
  • Last input/output
  • Events Leading up
21
Q

Name the nemonic

OPQRST

A
  • Onset
  • Provoke/Palliation
  • Quality
  • Region/Radiation
  • Severity
  • Time
22
Q

Name the nemonic

AEIOU-TIPS

23
Q

What are the 3 catagories in the GCS?

A
  • Eye opening
  • Verbal Response
  • Motor Response
24
How do you score Eye opening in GCS?
1. None 2. To Pain 3. To Voice 4. Spontaneous
25
How do you score Verbal Response in GCS?
1. None 2. Incomprehensible words 3. Inappropriate words 4. Confused 5. Oriented
26
How do you score Motor Response in GCS?
1. None 2. Extension (Pain) 3. Flexion (Pain) 4. Withdraws (Pain) 5. Localizes Pain 6. Obeys Command
27
What question do you ask to find out the O-Onset?
Did this discomfort come on suddenly or gradually?
28
What question do you ask to find out the P-Provoke/Palliative?
Is there anything you do that makes this discomfort better or worse?
29
What question do you ask to find out the Q-Quality?
How would you describe this discomfort?
30
What 3 questions do you ask to find out the R-Radiation?
* Can you point to where the discomfort is? * Does the discomfort stay there or does it move? * Do you have discomfort anywhere else?
31
What 2 questions do you ask to find out the S-Severity?
* On a scale of 1-10, One being no pain and Ten being the worst pain you ever had, how would you rate the pain? * Is it worse now than when it began?
32
What 2 questions do you ask to find out the T-Time?
* What time did this episode begin? * Has anything like this ever happened to you before and if so when?
33
How do you determine a General Impression?
By observing the appearance and hygiene, patient position, sounds, and smells. It establishes the overall condition of the patient. Does the patient appear stable, potentially unstable, or unstable?
34
How do you establish patient rapport?
* Introduce yourself to thr patient * Ask the patient's name * Ask why EMS was called * Obtain permission to treat * Respond with empathy * use positive body language
35
What are some things you would noticed when observing for Deformities and disabilities?
* If conscious, ask if they had any pre-existing disabilities * Neurological deficits (F.A.S.T) * Abnormal body presentations (Tripod position, decerebrate, decorticate posturing)
36
What question should I be asking myself when forming a field impression?
Does the patient have a serious illness that requires prompt transport or does the patient have a minor illness that is NOT life threatening?
37
Should medical patients be treated on the scene before transport?
Yes
38
The age for pediatrics in LA is..
14 and under
39
# Name the nemonic AEIOUTIPS
* Alcohol * Epilepsy * Insulin * Overdose * Uremia * Trauma * Infection * Psychiatric, Postictal, Poisoning * Stroke
40
What is D-Deformity?
Misshapen Body Part
41
What is C-Contusions?
Bruising
42
What is A-Abrasions?
Loss or damage to the surface of the skin from rubbing or scraping
43
What is P-Punctures?
A small penetration through the skin into the soft tissue
44
What is B-Burns?
Redness, blisters, or white areas of skin
45
What is T-Tenderness?
Pain when an area is palpated
46
What is L-Lacerations?
A deep cut in the skin
47
What is S-Swelling?
A raised or enlarged area of soft tissue on the surface of the body
48
# Define Distracting injury
Any injury that prevents the patient from noticing other injuries he or she may have, even severe injuries; for example, a painful femur or tibia fracture that prevents the patient from noticing back pain associated with a spinal fracture
49
# Define Pertinent negatives
Negative findings that warrant no care or intervention.
50
# Define Scene size-up
A step within the patient assessment process that involves a quick assessment of the scene and the surroundings to provide information about scene safety and the mechanism of injury or nature of illness before you enter and begin patient care
51
# Name the nemonic DR GEM
* Distention * Rigidity * Guarding * Ecchymosis * Rebound Tenderness * Pulsating Mass

EMT (21 decks)

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