Paramedic Trauma Assessment

Question 1

Paramedic trauma assessment parts

Answer 1

• Scene size up
• Patient assessment and airway
• Primary survey/Resuscitation
• Secondary assessment
• Vital signs, history, reassessment

Question 2

Scene size up (6)

Answer 2

• PPE
• Scene safe-Hazards
• Scene safe-Environment
• Number of patients
• Additional resources
• Determine MOI

Question 3

Patient Assessment and management (2)

Answer 3

• Spinal precautions if needed

- Instruct partner to remove patient clothes if needed

Question 4

Primary Survey parts (4)

Answer 4

• General impression
• Airway/breathing
• Circulation
• Disability and transport decision

Question 5

Primary survey- General impression (4)

Answer 5

• General impression
• Estimate age, gender, weight
• Manage gross visible hemorrhage
• Determine AVPU/LOC

Question 6

Primary Survey- Airway/Breathing (8)

Answer 6

• Assess airway- Position, obstructions
• Manage airway- Suction, adjunct, jaw thrust
• Assess breathing- Expose for injuries
• Assess breathing- Palpate for instability=impaired breathing
• Assess breathing- Auscultate lungs
• Assess breathing- RR, TV, equal rise and fall
• Manages breathing- Injury compromising ventilations
• Manages breathing- Administer O2

Question 7

Primary assessment- Circulation (6)

Answer 7

• Pulse
• Skin
• Capillary refill
• Full body sweep
• Manage major hemorrhage
• Manage life threatening injury

Question 8

Primary survey- Disability/Transport decision (3)

Answer 8

• GCS
• Pupils
• Transport decision- Critical or non-critical

Question 9

Secondary assessment parts (5)

Answer 9

• Head/Neck DCAPBTLSIC
• Chest DCAPBTLSIC
• Abdomen/Pelvis DCAPBTLSIC
• Extremities DCAPBTLSIC
• Posterior thorax/Pelvis DCAPBTLSIC

Question 10

Secondary assessment- Head/Neck DCAPBTLSIC (10)

Answer 10

• Inspect/Palpate scalp and skull
• Inspect/Palpate facial bones
• Inspect/Palpate jaw
• Assess eyes-PEARRL
• Inspect mouth, nose and ears
• Check position of trachea
• Check jugular veins
• Palpate c-spine
• Manage life threatening injuries for critical patients
• Manage deformities

Question 11

Secondary assessment- Chest DCAPBTLSIC (5)

Answer 11

• Inspect chest
• Palpate chest
• Auscultate chest
• Manage life threatening injuries for critical patients
• Manage chest injuries not previously noted

Question 12

Secondary assessment- Abdomen/Pelvis DCAPBTLSIC (5)

Answer 12

• Inspect and palpate abdomen
• Assess pelvic stability
• Assess genitalia
• Manage life threatening injuries
• Manage injuries not previously noted

Question 13

Secondary assessment- Pelvis (1)

Answer 13

Stability

Question 14

Secondary assessment- Male (2) and Female (3) genitalia

Answer 14

Male

• Wounds, rashes, lesions
• Drainage

Female

• Wounds, rashes, lesions
• Drainage
• Bleeding/Discharge

Question 15

Secondary assessment- Musculoskeletal (6)

Answer 15

• PMS
• Symmetry
• Deformity
• Open wounds
• Closed wounds
• LE pulses- Femoral, popliteal, dorsal is pedis
• UE pulses- Brachial, radial