Module 3 Flashcards
The measurement of force exerted against the walls of arteries is
Blood pressure
Palpation
Physical touching for the purpose of attaining information
Like tenderness and crepitus
Percussion
Gently striking the surface of the skin typically wear it, overlies, various body cavities, tapping the finger over the finger
Auscultate
Breath sounds listen to lungs
Stridor
Upper airway obstruction
Wheezes
Asthma, CPOD
Course crackles
Pneumonia pulmonary oedema
Fine crackles
Pulmonary fibrosis
Heartsounds and medical versus heart sounds in trauma
Listen to hurt sounds in trauma and primary and Heartsounds in medical in secondary
S1/S2
S one is loud and tricub/ mitral valve
S2 is dub aortic/pulmonary closing
Difficulties in making a patient assessment
Language and culture
Impaired off drugs and alcohol
Conative (age)
What must pts give you in order to help them
Consent
How to deal with multiple complaints
Look for relations
Between a problem
Prioritize complaints
Sign versus symptom
A sign is what you can see
Symptoms what you feel
What is empathy?
Feel how your patient is feeling
What is needed for domestic violence call
Law enforcement
You must leave. Take patient if you can.
We have to report abuse if
It’s a child, sexual or elder
What do we have to do with all gunshot and stabbing calls?
Report it
21 feet rule
Try to keep yourself 21 feet from you in an abuser
Factors accounting for confusion
Hypoxia, toxic environment, Delerium stroke, developmentally challenged
Sample history
S signs and symptoms
A allergies
M medication ( all vitamins why they’re on it and dosages)
P. Past medical history.
L last oral intake
E events leading up to
OPQRST
O onset ( when did the pain start/what brought it on)
P provocation(what makes it feel better or worse)
Q quality( type of pain, sharp / dull )
R region/radiation( doesn’t move anywhere or feel different anywhere else)
S severity ( 1 to 10 scale pain)
T time ( how long has it been happening for? Does it come and go? How long have you had this pain for?)
Inspection
Looking
Normal breath sounds
Bronchial
Vesicular
Bronchovesicular sounds
Pathological avdevential breath sounds
Wheezes and crackles
Heartsounds in primary or secondary ?
Secondary for medical
Primary for trauma
What is the quickest most reliable, initial evaluation tool
Checking the skin
Ecchymosis
Bruising of the skin
PH spermb
PPE
Hazards
Scene time
Number of patients
Environment
Resources
Mechanism of injury
Bystanders
Spinal considerations
Lordosis kyphosis scoliosis
Butt out ( spine, turned out wards
Hatchback ( spine, turned in wards
S shape
9 region of the Abdo
Initial diagnosis comes from (3)
Our findings
Chief complaint
Patient history
Difficulties in finding an initial diagnosis
Language or cultural
Impaired
Conative ( age )
Signs of distress
Diphoresis ( sweating )
Anxious
Gaurding
Altered Loc
Altered ABC
5 ps of acute arterial insufficiency
Pain
Paller
Parathesis, or paralysis
Pulselessness
Paresthesia ( pins, and needles)
Causes of altered mental status AEIOU TIPPS
Alcohol
Endocrine/epilepsy
Insulin
Overdose
Uraemia
Trauma
Infection
Poison
Psychosis
Shock
How many area to percuss
6
Carnal nerves
Priority, patients
CPR
Difficulties abc
Altered Loc
Bad general impression
Shock
Complicated birth
Stymies
Strokes
Uncontrolled bleed
High blood pressure
Severe pain or multiple injuries
Chest pain with a systolic blood pressure under 100 and diastolic blood pressure under 60 or a map of under 65
