Patient Assessment/ Management- Trauma

Question 1

Step 1:

Answer 1

Take or verbalizes appropriate PPE precautions

Question 2

Step 2: Scene Size-Up

Answer 2

Determines the scene/situation is safe

Question 3

Step 3:

Answer 3

Determines the mechanism of injury/ nature of illness

Question 4

Step 4:

Answer 4

Determines the number of patients

Question 5

Step 5:

Answer 5

Requests additional EMS assistance if necessary

Question 6

Step 6:

Answer 6

Considers stabilization of the spine

Question 7

Step 7: Primary Survey/Resuscitation

Answer 7

Verbalizes general impression of the patient

Question 8

Step 8:

Answer 8

Determines responsiveness/level of consciousness

Question 9

Step 9:

Answer 9

Determines chief complaint/ apparent life-threats

Question 10

Step 10: Airway

Answer 10

-Opens and assesses airway
-Inserts adjunct as indicated

Question 11

Step 11: Breathing

Answer 11

-Assess Breathing
-Assures adequate ventilation
-Initiates appropriate oxygen therapy
-Manages any injury which may compromise breathing/ventilation

Question 12

Step 12: Circulation

Answer 12

-Check Pulse
-Assess Skin [either skin color, temperature, or condition]
-Assesses for and controls major bleeding if present
-Initiates shock management [positions patient properly, conserves body heat]

Question 13

Step 13:

Answer 13

Identifies patient priority and makes treatment/transport decision (based upon calculated GCS)

Question 14

Step 14: History Taking

Answer 14

Obtains baseline vital signs [must include BP, P, and R]

Question 15

Step 15:

Answer 15

Attempts to obtain SAMPLE history

Question 16

Step 16 Secondary Assessment: Head

Answer 16

-Inspects and palpates scalp and ears
-Assesses eyes
-Inspects mouth, nose, and assessed facial area

Question 17

Step 17: Neck

Answer 17

-Check position of trachea
-Checks jugular veins
-Palpates cervical spine

Question 18

Step 18: Chest

Answer 18

-Inspects chest
-Palpates chest
-Auscultates chest

Question 19

Step 19: Abdomen/Pelvis

Answer 19

-Inspects and palpates abdomen
- Assesses Pelvis
-Verbalizes assessment of genitalia/perineum as needed

Question 20

Step 20: Lower Extremities

Answer 20

-Inspects, palpates, and assesses motor, sensory, and distal circulatory functions

Question 21

Step 21: Upper Extremities

Answer 21

• Inspects, palpates, and assesses motor, sensory, and distal circulatory functions

Question 22

Step 22: Posterior Thorax, Lumbar, and Buttocks

Answer 22

-Inspects and palpates posterior thorax
-Inspects and palpates lumbar and buttocks areas

Question 23

Step 23:

Answer 23

Manages secondary injuries and wounds appropriately

Question 24

Step 24: Reassessment

Answer 24

Demonstrate how and when to reassess the patient

Question 25

DCAP-BTLS

Answer 25

D-Deformities
C-Contusions
A-Abrasions
P- Punctures and Penetrations
B-Burns
T-Tenderness
L-Lacerations
S- Swelling

Question 26

AVPU

Answer 26

A-Alert
R-Verbal
P-Responding to painful stimuli
U-Unresponsive