Medical Assessment per DA form Flashcards
What are the phases of a medical assessment?
Scene Size up Primary assessment History and secondary assessment Focused physical exam Reassessment
What should occur during scene size up?
BSI Scene Safe NOI/MOI Number of Pts Request Assistance
What should occur during the primary assessment?
General impression of pt AVPU ABCs Control Significant bleeding Treat Shock Transport decision and priority Medical Direction PRN
What should occur during History and Secondary Assessment?
SAMPLE
OPQRST
Elaborations
What should occur during the Focused Physical Exam
Obtain vitals
One up/One down system/joint exam
What should occur during reassessment phase?
Repeat Primary assessment Reassess Chief Compliant Check Interventions Repeat Vitals Document/Report
What does AVPU stand for?
Alert
Verbal responsive
Pain responsive
Unresponsive
How is airway assessed?
Look, Listen, Feel
How is breathing assessed?
Rate, Rhythm, Quality and initiate O2 PRN
How is Circulation Assessed?
Assess skin and pulse
How is skin assessed?
Color
Temperature
Condition/Texture
How is pulse assessed?
Rate
Rhythm
Strength
If a patient is found unresponsive how does primary assessment change?
ABCs become CABs - Circulation first > CPR
What does SAMPLE stand for?
Signs/Symptoms Allergies Medications Past Medical History Last oral intake Events prior to injury/illness
What does OPQRST stand for?
Onset Palliation or Provocation (Better or Worse)/Intervention Quality of pain/symptom Region or radiation Severity Time Hx