Practicals/ Medical Flashcards
SCENE SIZE UP
BSI
Scene is safe
Number of patients
MOI/NOI
C-Spine
Additional Resources
PRIMARY ASSESSMENT
General Impression
Level of Conciseness (AVPU)
AIRWAY
Breathing
Circulation
Decision
Report
Airway
Open, Assess, Suction, Secure
Manage Life Threats to Airway
General Impression
My GENERAL IMPRESSION is…..
Good, poor and why?
Hunched over, in pain, pale, diaphoretic, cyanotic ?
Level of consciousness (AVPU)
Alert ?
Responds to verbal stimuli ?
Responds to painful stimuli ?
Unconscious ?
Breathing
Assures adequate ventilation
—Look, listen & feel
“I see equal chest rise, I feel equal chest rise, I hear equal & clear bilateral breath sounds.”
Initiate appropriate oxygen therapy
Manage Life threats to breathing
Appropriate Oxygen-therapy
Goal SPO2 > 93%
Nasal Cannula 1-6 L per/min
Non-rebreather 10-15 LPM
Bag-valve mask 15-25 LPM
Manage Life Threats to Breathing
Circulation
Assess /Control major bleeding
Assess Pulse
Assess Skin
(Circulation)
Assess/ control major bleeding
Do you see bleeding ?
“Do you feel like you are wet anywhere?”
(Circulation)
Assess Pulse
Present Fast/slow, strong/weak,
“There is a pulse it is Strong & Regular”
(Circulation)
Assess Skin
Color, Temperature, Condition
“My patients skin is …….
(pink, cyanotic pale),
(warm, hot, cool, cold, warm), ( dry, clammy, diaphoretic,)”
Decision
Priority Patient or Not Priority Patient
AND WHY……
“I believe my patient is a priority/not a priority patient (difficulty breathing, chest pain, intense pain, etc….)”
Report
Give brief 20 sec report to incoming,,,
1) “I have a __yr old pt,
2) they are AVPU,
3) Cheif complaint is__ “
Tell what/if you did for ABC (suction, n/c)
4)Priority or Not Priority
5) “ Do you need anything Further?”
Secondary Assessment
Vitals (BP, Pulse, Resp & Skin)
O– onset
P– Provokes
Q- Quality
R- Radiates
S–Severity
T- Time
___–
S/S
Allergies
Meds
P– Past medical History
L- last oral intake
E- Events prior
(OPQRST)
Onset
When did the ___ start ?
(OPQRST)
Provokes
Is there anything that makes (the symptom) better or worse ?
(OPQRST)
Quality
What kind of sensation is it ?
(throbbing, sharp, dull, burning, etc…)
(OPQRST)
Radiates
Does the pain/sensation move anywhere else in your body ?
(OPQrST)
Severity
On a scale 0-10 (0 being no pain 10 worst) how bad is your pain
(OPQRST)
Time
When did this pain/sensation start ?
SAMPLE
Signs/Symptoms
Do you have anything going on other than your chief complaint ?
SAMPLE
Allergies
Any allergies
SAMPLE
Medications
Do you take any medications prescribed, over counter, supplements ?
what do you take them for?
SAMPLE
Last oral intake
when did you eat something last (time) ?
what was it?
SAMPLE
Past Medical History
Do you have any medical history that I should know about ?
SAMPLE
Events Leading to
what were you doing when this pain/sensation started ?
Focused exam on appropriate body systems
cardiac
pulmonary
neuro
Integumentary
Reproductive
GI/GU
Pysch
Muskoskeletal
Medical Assessment
Scene Size Up
Primary Assessment
Secondary Assessment
Focused Exam
Transport
Reassessment
verbalized report incoming
Pulse rate Norm
60-100
Respiratory Rate
12-20
