Paramedic Medical Assessment Flashcards
1
Q
Different categories of the paramedic medical assessment (5)
A
- Scene size up
- Patient assessment and management
- Primary survey/resuscitation
- Secondary assessment
- Treatment, transport, reassessment
2
Q
Parts of med assess scene size up (7)
A
- PPE
- Scene safety hazards
- Scene safety environment
- Number of patients
- Additional resources
- Nature of illness
- Nature of illness evidence
3
Q
Patient assessment and management (2)
A
- Begin spinal precautions if needed
- Instructs partner to remove clothing if needed
4
Q
Primary Survey/Resuscitation parts (7)
A
- General impression
- Airway/breathing
- Circulation
- Disability
- Chief complaint
- Transport decision
- Vital signs
5
Q
Patient Survey-General Impression (4)
A
- General impression
- Estimate age, gender, weight
- Manage gross visible hemorrhage
- Determine AVPU/LOC
6
Q
Patient survey-Airway/Breathing (8)
A
- Assess airway
- Manage airway
- Assess breathing(Expose chest for injuries)
- Assess breathing(Palpate for instability, impair breathing)
- Assess breathing(Auscultate)
- Assess breathing(Note TV, equal rise/fall)
- Manage breathing(Injury compromising ventilations)
- Manage breathing(Administer O2)
7
Q
Primary survey-Circulation (7)
A
- Pulse
- Manages airway (Suction, adjunct, jaw thrust)
- Skin (Turgor, edema)
- Capillary refill
- Full body sweep (Major hemorrhage)
- Manage major hemorrhage
- Manage life threatening injuries
8
Q
Primary survey-Disability (2)
A
- Calculate GCS
- Examine pupils
9
Q
Primary survey-Chief complaint
A
Determine chief complaint
10
Q
Primary survey- Transport decision
A
Critical or non-critical
11
Q
Primary survey-Vital signs (9)
A
- BP
- Pulse
- RR
- SpO2
- Assessment of pain
- ECG
- BGL
- Capno
- Other diagnostic tools
12
Q
Secondary assessment- History taking (3)
A
- Pertinent to situation
- SAMPLE
- OPQRST
13
Q
Secondary assessment- Head/Neck DCAP BTLS IC (16)
A
- Immobilize as needed
- Neuro- Stroke scale
- Neuro- Motor system
- Inspect/Palpate scalp and skull
- Inspect/Palpate facial bones
- Inspect/Palpate facial muscles
- Inspect/Palpate jaw
- Inspect mout
- Ears (discharge)
- Nose
- Neck- Lumps, hard nodules
- Neck- Thrachea, stomps
- Neck- JVD
- Neck- Palpate c-spine
14
Q
Secondary assessment- Mental eval (4)
A
- Appearance (ex. Dress, posture, violence)
- Speech (ex. Slow/fast, appropriate)
- Mood (ex. Depressed, angry, manic)
- Thoughts (ex. Hallucinating, suicidal)
15
Q
Secondary assessment- Chest DCAPBTLSIC (8)
A
- Interview for pain, history, current meds
- Inspect rate, rhythm, WOB
- Palpate
- Auscultate
- Percussion
- Heart sounds
- Oxygen therapy
- ECG, meds
