MAM Template: col. 1&2

Question 0

General Impression

Answer 0

• PPEs/Wash hands
• CC
• Sick/Not
• AVPU/ GCS

Question 1

Scene Sizeup

Answer 1

• Scene safe
• MOI/NOI
• # pts
• Additional resources
• c-spine?

Question 2

Primary Assessment

Answer 2

C- Major hemorrhaging?
     Skin colour/temp
     Pulse presence/quality/rate
A- Voice/Noises
     Patent/Open/No obstructions
B- Breathing presence/Rate
     Effort/Quality
     Adequate vents (sat)

Question 3

First Decisions

Answer 3

•Transport emergent/code
•IV resuscitation?
D- Disability; weak/slow?
E- Expose pt; anything catch my eye?
F- Fever; quick temp
G- Gross stuff present?

Question 4

Vitals

Answer 4

O2 Sat
RR
Capno
--
BP
HR
EKG
--
Temp
BGL
GCS

Question 5

HPI

Answer 5

S&S
O- onset
P- provocation
Q- quality
R- radiation
S- severity
T- timing; constant, transient
U- Ever happened 2 U before?

Question 6

PMH

Answer 6

A- Alleries
M- Meds
P- Past medical-
     Psychologic-
     Social-
     Surgical-
     Work/hobbies-
L- last oral intake
E- Events leading to...

Question 7

ROS

Answer 7

Neuro- Headache, trouble swallowing,
            dizziness, blurred vision,
            double vision, ringing in the
            ears
Psycho- councillor, mood swings,
              unusual moods/feelings
Endo- Diabetes, thyroid problems
--
Pulmo- trouble breathing, lung probs
Cardio- palpitations, heart probs
Lymph- swollen lymph nodes, feeling
             sick lately
--
GI/GU- indigestion, inconsistencies in
            or trouble with urination or
            defecation, diarrhoea,
            constipation, n/v
Repro- Females- Pregnant, G/P,
            menstraul cycle, menopause
            Males- difficulty maintaining
            erection, decreased sensation
            or libido
--
Mu/sk- Weakness, fatigue, joint pain,
             muscle pain, bone pain, recent
             breaks or sprains?
Integ- pain or itchiness, recent or
          unexplained bumps, bruises,
          lesions, or rashes?

Question 8

Secondary

Answer 8

Head
Skin
EENT
Neck
Chest/ lungs IAPP
Cardiac
Back IAPP
Abd IAPP
Musculoskeletal
Neurological
   Strength
   Reflexes
Behavioural
   Acting appropriately

Question 9

Conclusion

Answer 9

Anything else you want me to know?

Question 10

VINDICATE

Answer 10

V- vascular (hypoxia/infarct/hemorrhage/coag)
I- infection
N- neuro/neoplasm
D- drugs/degenerative/developmental
I- inflammatory/Iatrogenic/Insufficiencies/Invasive/Idiopathic
C- cardiac/coagulopathy/cancer/cognitive
A- autoimmune/allergies/anaphylaxis/acid-base
T- Trauma/toxins/5Ts
E- environment/endocrine/electrolytes-metabolism/excesses

Question 11

Differential

Answer 11

Most important
Most likely
Most treatable

Question 12

I see…

Answer 12

I see
I think
I will
   Transport/code
   Where
   Positioning
   O2
   IV
   Fluids
   Meds
   Procedures
   Reassess
I expect benefit
I expect risk
I expect benefit > risk
If harm, I will

Question 13

Radio Report

Answer 13

Unit #
Emergent/Non-Emergent/Code
--
Stability
Age
Sex
CC
--
Field impression
HPI/PMH
Findings of assessment
--
Treatments
Vitals
--
Q&O/ETA