Medical Assessment guide Flashcards
Scene Size up: S N N A C
S = Scene safe
N = Number of patients
N = Nature of illness
A = Additional resources
C = Consider C - spine
Primary Survey: G L C A B C D
G = General Impression
L = Level of consciousness
C = Chief complaint
A = Airway
B = Breathing (gives 02)
C = Circulation
(Checks pulse and skin - color, temperature and condition)
D = Decision to transport
History Taking: O P Q R S T
O = Onset
- “How did this come about”
P = Provocation
- “Does anything make this feel better or worse?”
Q =Quality
-“Can you describe the pain / condition in your own words?”
R = Radiation
- “Does this pain stay in one place or move anywhere else”
S = Severity
- “On a scale 1 - 10, please rate your pain / condition”
T =Timing
- Is it constant or does it come and go?
Past Medical History: S A M P L E
S = Signs and Symptoms
- “Does anything else bother you”
A = Allergies
- “ Medication, food, etc)
M = Medications
“Prescription, over the counter, illegal, supplements”
P = Past pertinent Medical History
( Surgeries, Chronic conditions)
L = Last oral intake and first day of last menstrual cycle
E= Events leading up to the Aliment
Secondary Assessment
C P N M I G R P
(Choose one)
C = Cardiovascular
P = Pulmonary
N = Neurological
M = Musculoskeletal
I - Integumentary
G - GI / GU
R - Reproductive
P - Psychological / Social
Vital Signs
Blood pressure
Pulse
Respiratory Rate
Pulse Oximetry
Blood Glucose Level
State a field impression
Based on patients stated complaints and findings
Interventions
Contact Medical Control
Repeat Vitals
Reassessment
Frequency:
Critical - Every 5 mins
Non critical - Every 15 mins
What to reassess
Level of consciousness
Verify ABC’S are still intact
Check all interventions are performed
Obtain a new set of vitals
Provide a detailed Radio report
Repeat Vitals
ETA
State of Condition
