Medical Assessment

Question 1

First Step ALWAYS

Answer 1

BSI/SCENE SAFE

Question 2

SIZE Up

Answer 2

Mechanism of injury/illness
Number of Patients
Request additional ALS
Consider C-spine stabilization

Question 3

Primary Survey/Resuscitation

Answer 3

General Impression of patient (Sick or not Sick)
Determine responsiveness/consciousness (AVPU)
Determine Chief Complaint
ABCs

Question 4

Airway and Breathing

Answer 4

Assessment
Assures Adequate Ventilation
Initiates proper oxygen therapy (NRB 15 L/M)

Question 5

Circulation

Answer 5

Assess/control major bleeding
check for pulse
Assess skin (color, temp, condition)

Question 6

Directly After ABCs

Answer 6

Identify patient priority
load and go
stay and play

Question 7

History Taking

Answer 7

OPQRST

SAMPLE

Question 8

OPQRST

Answer 8

Onset (what caused this)
Provocation (anything make it better or worse)
Quality (explain the pain to me)
Radiation
Severity
Time

Question 9

SAMPLE

Answer 9

Signs and symptoms
Allergies
Medications
Pertinent medical history
Last oral intake
Events

Question 10

After History

Answer 10

Secondary Assessment

Question 11

Secondary Assessment

Answer 11

Assess affected body part/system

• cardiovascular
• pulmonary
• neurological
• musculoskeletal
• integumentary
• GI/GU
• reproductive
• psychological/social

Question 12

After Secondary Assessment

Answer 12

Vital Signs

Question 13

After Vital Signs

Answer 13

States field impression of patient

Question 14

After Field Impression

Answer 14

Verbalize proper interventions/treatment

Question 15

After Interventions

Answer 15

Reassessment

Question 16

Reassessment

Answer 16

Demonstrate how and when to reassess patient

Question 17

Last Step

Answer 17

provide accurate verbal report to arriving EMS unit