Patient Assessment- Medical

Question 1

Scene size up

Answer 1

BSI scene is safe

I have 1 50 y/o female patient who’s noi is chest pain.

I’m going to request additional assistance and im not going to consider c-spine stabilization at this time

Question 2

Primary survey 5 things

Answer 2

1. General impression of patient
2. LOC
3. Chief complaint
4. ABCs
5. Transport

Question 3

My general impression of the patient is

Answer 3

Poor

Question 4

LOC

Answer 4

Level of consciousness

Question 5

How to test LOC

Answer 5

AVPU

2 short term questions and 2 long term questions

Question 6

AVPU

Answer 6

Alert
Verbal
Pain
Unresponsive

Question 7

4 LOC Questions

Answer 7

1. Do you know where you are
2. Do you know what happened
3. How many quarters are in a dollar
4. Name 2 colors

A and O #

Question 8

Chief complaint

Answer 8

Whatever they say when you ask then and there

Question 9

ABCs

Answer 9

Airway
Breathing (apply oxygen)
Circulation (go up arm 3 things)

Question 10

4 Airway possibilities

Answer 10

Clear- good
Blocked- can I move the object
Gurgling- roll to recovery position and suction
Snoring- head tilt chin lift

Question 11

Circulation up the arm

Answer 11

Radial pulse
Color/temperature
Major bleeding

Question 12

Transport?

Answer 12

This patient needs immediate transport

Question 13

History

Answer 13

1. OPQRST- present illness

2. SAMPLE- past medical history

Question 14

OPQRST

Answer 14

Onset
Provocation
Quality 
Radiation 
Severity 
Time

Question 15

SAMPLE

Answer 15

Signs and symptoms
Allergies
Medication
Past pertinent history
Last oral intake 
Events leading to present illness

Question 16

Patient Assessment- medical

Order of 6 steps

Answer 16

Scene size up
Primary survey/ resuscitation 
Vitals 
History 
Secondary assessment
Reassessment

Question 17

Onset- 1 question

Answer 17

What were you doing when symptoms began?

Question 18

Provocation- 2 questions

Answer 18

Does anything make a symptom better or worse?

How are you the most comfortable?

Question 19

Quality- 4 questions

Answer 19

What does the symptom feel like?
Is it sharp, dull, crushing, tearing?
Does it come in waves?
Can you describe the symptom?

Question 20

Region/ Radiation- 2 questions

Answer 20

Where do you feel the symptom

Does it move anywhere

Question 21

Severity- 1 question

Answer 21

On a scale from 1-10 how would you rate your symptom

Question 22

Timing- 3 questions

Answer 22

Has the symptom been constant or does it come and go?
How long have you had the symptom?
When did it start?

Question 23

Signs and symptoms

Answer 23

What’s signs and symptoms occured at the onset of the incident?
Did the patient report pain?

Question 24

Allergies

Answer 24

Is the patient allergic to any food, medication, or other substances?
What reactions did they have to them?

If no known allergies note NKA on report

Question 25

Medications-

Answer 25

Mnemonic: TACOS

Tobacco 
Alcohol 
Caffeine 
Over there counter 
Sexual or street drugs

Question 26

Past pertinent medical history

Answer 26

History of medical, surgical, or trauma occurrences?
Recent illness, injury, fall, or blow to head?
Important family history?

Question 27

Last oral intake

Answer 27

Last eat or drink? (When, what, how much)
Drugs or alcohol?
Any other intake in the last 4 hours?

Question 28

Events leading up to injury or illness

Answer 28

Key events leading up to this?
What happened between onset and our arrival?
What were you doing when illness started/ injury happened?

Question 29

Events leading up to injury or illness

Answer 29

Key events leading up to this?
What happened between onset and our arrival?
What were you doing when illness started/ injury happened?