patient assessment

Question 1

when is the one indication of c-spine becoming a priority of pt assessment over airway

Answer 1

if the patient is clearly showing signs of spinal injury or trauma or the scene/clues on scene indicate that there was a possible accident that could have injured the spine or neck of caused some sort of spinal trauma

Question 2

a key point to keep in mind when doing general assessment is that

Answer 2

the scene is reflective of the chief complaint; do not have tunnel vision; keep your eyes open to all clues; you do not have to go in proper order as long as you have hit all things

Question 3

what is the first set of evaluations that needs to be performed when receiving a call

Answer 3

the scene up

Question 4

when is scene size up to be completed

Answer 4

prior to patient contact

Question 5

what are the steps of scene size up

Answer 5

1. safety
2. moi/ios
   (mechanism of injury- trauma)
   (indexof suspisioan- medical)
3. number of patients
4. help needed

Question 6

what assessment is to be completed upon patient contact and after the scene size up

Answer 6

the initial (primary) assessment

Question 7

what is the first thing done in the primary assessment

Answer 7

forming a general impression

Question 8

what is the initial thing to be assessed in the primary assessment

Answer 8

LOC- level of consciousness which is to be assessed through AVPU (alert verbal pain unconscious)

Question 9

in a critical patient during the primary assessment the main things to do are to

Answer 9

find the life threatening conditions and fix them

(if trauma pt do a rapid trauma assessment which is essentially a police pat down)

Question 10

what is a rapid trauma assessment

Answer 10

“a police pat down” physical examinations where you find the life threatening injuries of the patient and try to fix them

Question 11

the first thing in patient contact to address (ish) is the CC (Chief complaint) which is

Answer 11

the nature of illness and nature of injury

Question 12

the first thing to assess, maintain and manage in a patient is

Answer 12

a patent airway

Question 13

when assessing a patients airway what are the main questions you should be asking them

Answer 13

can you take a deep breath and did anything prevent you from taking that deep breath

Question 14

how do you treat a gurgling respiration

Answer 14

with a suction (and if the patient is able to, encourage them to spit their secretions out)

Question 15

how do you treat a snoring respiration

Answer 15

you insert an OPA (oropharyngeal) if there are no contraindications such as a gag reflex. if it is contraindicated then you can insert an NPA (nasopharyngeal) the contraindications to using one are trauma to the face, more specifically the nose, and pull it out if there is excessive resistance

Question 16

how do you maintain a patent airway in a choking patient

Question 17

what is the second thing one maintains, assesses, and manages in their initial assessment of a patient

Answer 17

breathing

Question 18

what things are done in the assessement ofa patient breathing

Answer 18

breath sounds are assessed, their pulse ox is taken, and they are administered oxygen if needed

Question 19

when assessing a patient breathing what question should be asked

Answer 19

“do you feel like you are getting enough air”

Question 20

artificial ventilations versus supplemental oxygen

Answer 20

artificial ventilations is us breathing for the patient; if the patients breathing is not controlled then we must do artificial ventilations and if their breathing is controlled then we can just give them supplemental oxygen to keep their oxygen levels where they are supposed to be

Question 21

what are the three main forms of artificial ventilations

Answer 21

mouth to mask (pocket mask); BVM (bag valve mask/AMBU Bag); mouth to mouth

Question 22

what are the main means of providing supplemental oxygen

Answer 22

nasal cannula, partial nonrebreather/ simple face mask, complete nonrebreather