medical assesment Flashcards
you may begin your test
bsi scene safety
your scene is safe
what is my enviornment
how many pt
going to request additional resources
what is the nature of illness
any extrication
taking spinal precautions
noted
what is my general impression
””
My patient is tracking me, and i will approach
hi my name is tia im here to help you today is that okay? im going to ask you a couple questions
okay
what is your first name and last name
where r we right now
what day of the week is it
what happened today? why did you call 911?
C/C
My patient is AOX? with C/C of
Im going to check pt airway, since he is talking, i know his airway is open and patent.
im going to check pt breathing what is his rate rythm and quality? any injuries compromising breathing
breathing is 24x fast equal chest rise and fall no injuries
going to administer 02 by nrb 15 lpm
accpeted
checking circulation what is his rate, rhythm, quality of pulse (checking for pulse),
any bleeding
no
skin signs?
pale cool and diaphoretic
show signs of shock treat with blot
transport decision is to load and go
what were you doing when this pain started?
””
anything make it feel better? what makes it feel worse
what does the pain feel like
does the pain radiate or travel anywhere else
on a scale of 1-10 1 being lest 10 being worst how bad is pain
how long has this been going on
15 minutes
any allergies
any medication you are taking? prescribed to you? taking them accordingly?
last time eat or drink? how long ago? last time to bathroom?
””
events leading up to were “” and c/c happened. it feels like and raidates “” feels like ?/10, you have ? allegies, you take medications as ut supposed to for ?
yes
okay im going to do a focused exam on your C/C looking for DCAPBTLS and injuries and LS (palpate and listen to c/c)
none found
im going to do a head to toe for any other injuries or pain (perfrom head to toe detailed)
