PATIENT ASSESSMENT Flashcards
S in SAMPLE
Signs and Symptoms
A in SAMPLE
Allergies
M in SAMPLE
Medication
P in SAMPLE
Pertinent Past Medical History
L in SAMPLE
Last oral intake
E in SAMPLE
Events Leading up to the call for help
O in OPQRST
Onset
P in OPQRST
provocation/ palliation
Q in OPQRST
Quality
R in OPQRST
Region/ Radiation
S in OPQRST
Severity
T in OPQRST
Time
D in DECAPBTLS
Deformities
C in DCAPBTLS
CONTUSIONS
A in DCAPBTLS
Abrasions
P in DCAPBTLS
Punctures/
penetrations
B in DCAPBTLES
Burns
T in DCAPBTLS
Tenderness
L in DCAPBTLS
Lacerations
S in DCAPBTLS
Swelling
Pulse rate/ Heart rate (adults)
60-100 BPM
Respiratory Rate (adults)
12-20
oxygen saturation
> 94%
Blood Glucose
80-120 mg
Laceration
Cut
Abrasion
Scrape
Contusions
Bruise
Provocation
what makes it Worse
palliation
what makes it better
Severity
on a scale 1-10
Quality
characteristics
Onset
Sudden or Gradual
Acute or chronic
Region/Radiation
what body parts/systems are effected
Region/radiation
What body parts/systems are effected
A in AVPU
Alert
V in AVPU
respond to Verbal stimuli
Pin AVPU
Respond to painful stimuli
U in AVPU
unresponsive
PERRLA
Pupils are equal, Round, Regular in Size, React to light and Accommodation
Sign
vomit
Symptoms
Nausea
Scene Size Up
- is the Scene safe
- MOI/NOI
- BSI PPE
- Number of patients
Addition resources
(P) ASTE
Provoke
P(A)STE
Associated chest pain
PA(S)TE
sputum production
PAS(T)E
talking tiredness
PAST(E)
Exercise Tolerance