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EMT > Patient Assessment Terminology > Flashcards

Patient Assessment Terminology Flashcards

1
Q

HPI

A

History of Present Illness

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2
Q

PMH

A

Past Medical History

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3
Q

O in OPQRST

A

Onset
What were you doing when it started?

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4
Q

P in OPQRST

A

Provocation/Palliation
Anything make it better or worse?

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5
Q

Q in OPQRST

A

Quality
How would you describe the pain?

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6
Q

R in OPQRST

A

Radiation
Where is the pain and does it go anywhere?

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7
Q

S in OPQRST

A

Severity
On a scale of 1-10, what would you rate your pain?

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8
Q

T in OPQRST

A

Time
How long ago?

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9
Q

AVPU

A

Assessing the level of consciousness

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10
Q

A in AVPU

A

Alert
addressing you enter the room

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11
Q

V in AVPU

A

Verbal
only notices you/looks at you when spoken to

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12
Q

P in AVPU

A

Painful
needs pain to stimulate response (sternal rub)

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13
Q

U in AVPU

A

Unresponsive
no reaction

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14
Q

S in SAMPLE

A

Signs & Symptoms

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15
Q

A in SAMPLE

A

Allergies

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16
Q

M in SAMPLE

A

Medications

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17
Q

P in SAMPLE

A

Pertinent past history

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18
Q

L in SAMPLE

A

Last oral intake

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19
Q

E in SAMPLE

A

Events leading up to

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20
Q

D in DCAP-BTLS

A

Deformities

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21
Q

C in DCAP-BTLS

A

Contusions

22
Q

A in DCAP-BTLS

23
Q

P in DCAP-BTLS

A

Penetrations/Punctures

24
Q

B in DCAP-BTLS

25
Q

T in DCAP-BTLS

A

Tenderness

26
Q

L in DCAP-BTLS

A

Lacerations

27
Q

S in DCAP-BTLS

28
Q

ABC’s

A

if patient has signs of life, assess in this order

29
Q

CAB’s

A

if patient appears lifeless, this is the order to confirm pulselessness for cardiac arrest and bleeding control (severe bleeds = arterial)

30
Q

A in ABC

31
Q

Airway

A
  • manually open airway (always first step)
  • insert airway adjunct (OPA or NPA)
  • suction when needed
32
Q

OPA

A

oropharyngeal airway

33
Q

NPA

A

nasopharyngeal airway

34
Q

B in ABC

35
Q

Breathing

A

are they breathing? is it adequate?

36
Q

deliver oxygen to patients in respiratory distress

A
  • agitation
  • stridor
  • wheezing
  • tachypnea
  • tachycardia
  • nasal flaring
  • accessory muscle usage
37
Q

assist ventilations for patients with inadequate breathing

A
  • alter mental status
  • shallow respirations
  • rates over 30 and under 10
  • bradycardia
38
Q

C in ABC

A

Circulation

39
Q

Circulation

A

do they have a pulse? do they have a significant bleed?
- stop any exsanguinating bleeds immediately (“heavy, severe, arterial, spurting”)

40
Q

if scene is not safe

41
Q

Patient’s environment

A

does the environment give clues to the condition?

42
Q

Chief complaint

A

reason they called 911

43
Q

Appearance

A

mental status (AVPU)

44
Q

normal adult pulse

A

60-100 bpm
assess quality (regular, strong, weak (“thready”)

45
Q

normal adult respirations

46
Q

normal adult temperature

A

98.6 degrees F

47
Q

normal adult bp

48
Q

normal adult blood glucose

A

80-120 (can range nominally for patient’s normal)

49
Q

normal (pulse oximetry)

A

96-100% (could be greater than or equal to 94%)

50
Q

mild hypoxia (pulse oximetry)

51
Q

moderate hypoxia (pulse oximetry)

52
Q

severe hypoxia (pulse oximetry)

EMT (20 decks)

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