Patient Assessment Model (PAM) General

Question 1

Components of PAM

Answer 1

Rescue scene evaluation (RSE)
Primary Survey
Secondary Survey

Question 2

Purpose of the Rescue Scene Evaluation (RSE)

Answer 2

Ensure the scene is safe for crew and patient(s)

Provide information abt nature and extent of pt injury/condition

Question 3

Purpose of the Primary Survey

Answer 3

Designed to address life and limb threatening injuries in order of priority

Question 4

Purpose of the Secondary Survey

Answer 4

-Identifies patients chief complaint
-establish baseline set of vitals
-gather information about the patients injuries and condition
-may be conducted on scene or en route to hospital

Question 5

Critical Intervention

Answer 5

An immediate intervention on life/limb threatening injuries addressed in the Primary Survey.

Question 6

Packaging and Treatments

Answer 6

Further care of interventions in Primary Survey to allow for transport

Question 7

Rescue Scene Evaluation (RSE)

Answer 7

-Hazards
-Environment
-Mechanism of Injury
-Patient Count
-BSI/Backup
-Condition of Patient

Question 8

Primary Survey

Answer 8

-Delicate Spine
-Level of consciousness (AVPU)
-Airway
-Breathing
-Circulation
-Rapid Body Survey
-Skin
-Oxygen
-Airway/Ascultation
-Positioning, Package, and Protocols
-Intervention Check
-Transport decision (RTC/NRTC)

Question 9

Secondary Survey

Answer 9

-Chief Complaint & History of Chief Complaint
-History Taking (SAMPLE & OPQRRRST and Critical History)
-Vital Signs
-Hospital Notification (ISBAR)
-Head-to-Toe Survey and Functional Inquiry

Question 10

Packaging and Treatments

Answer 10

-Minor Wound Care
-Traumatic Injury Management
-Fracture Management
-Spinal Management
-Burn Management

Question 11

EMR Medical Protocols

Answer 11

-Medical Cardiac Arrest
-Traumatic Arrest
-Discontinue CPR
-Pain Management
-Cardiac Chest Pain
-Diabetic
-Narcotic Overdose

Question 12

Chief Complaint

Answer 12

A short description of the patients primary complaint or what the EMR believes is the primary cause of concern

Question 13

History of Chief Complaint

Answer 13

A description of the events that led up to the patient seeking medical attention for their Chief Complaint. Note any Critical History that pertains to the specific event

Question 14

Critical History

Answer 14

Information gathered from the patient, bystanders, and other forms of identification that provides specifics pertaining to the event (this was paraphrased)

Question 15

Medical History and Pain Assessment: SAMPLE

Answer 15

-Signs, Symptoms and Story
-Allergies
-Medications
-Past Medical History
-Last Oral Intake
-Events leading up to the incident

Question 16

Medical History and Pain Assessment: OPQRRRST

Answer 16

-Onset
-Provocation
-Quality
-Region
-Radiation
-Relief
-Severity
-Time

Question 17

How often are vital signs checked and where are they recorded

Answer 17

-Every five minutes (q5) on unstable patients (RTC)
-Every fifteen minutes (q15) on stable patients
-Always record vitals on your Patient Care Record (PCR) using the time upon check completion (24hr time)

Question 18

When checking vitals record the following

Answer 18

-Glasgow Coma Scale (lvl of consciousness)
-Blood Pressure
-Pulse Rate & Quality
-Respiratory Rate & Quality
-Pulse Oximetry (SpO2)
-Skin Characteristics
-Pupil Assessment
-Blood Glucose Level (if indicated)
-Pain Scale (0-10) (if indicated)
-Body Temperature (minimum one temp taken per call, unless call involves ‘Environmental Emergency’)
-Auscultation (if indicated)