primary and secondary assessment

Question 1

What is the primary assessment?

Answer 1

DRABC

Question 2

What do you ask before entering a scenario?

Answer 2

Time to scene
Time to hospital
Time of day
Is there any backup available
What is the weather like
Is there any danger to myself, my partner and patient

Question 3

What is your secondary assessment?

Answer 3

Neurological assessment
Respiratory assessment
Cardiovascular assessment
Head to toe

Question 4

What do you perform in a neurological assessment

Answer 4

A GCS score
Pupils
Motor sensory assessment, checking any abnormalities

Question 5

What do you perform in a respiratory assessment

Answer 5

Check the respiratory rate, is it fast, slow, normal
Check the rhythm, is it regular or irregular
Check the effort, is it increased, decreased
Check the skin, is it perfumed, cyanoses, blue, sweaty
Check the sounds, crackling, snoring, wheezing
Check patients speech, full sentences, phrases, singular words

Question 6

What do you perform in a cardiovascular assessment

Answer 6

Check for pulse, is it fast, slow, normal
Check blood pressure, is it hypotensive or hypertensive
What’s the ecg read
Blood sugar level, high, low or normal
Spo2, high or low or normal
Temperature, high, low or normal

Question 7

What do you check for in performing a head and toe

Answer 7

Head
Neck
Chest
Abdomen
Pelvis
Upper and lower limbs
Back
Toes

Question 8

What is the gcs scores

Answer 8

Eyes, voice, motor

Question 9

What is eyes, in order

Answer 9

4. Spontaneous
5. Voice
6. Pain
7. Unresponsive

Question 10

What is voice, in order

Answer 10

5. Orientated
6. Confused
7. Inappropriate
8. Moans and groans
9. Unresponsive

Question 11

What is motor, in order

Answer 11

6. Obeys commands
7. Localised to pain
8. Withdrawals to pain
9. Flexion
10. Extension
11. Unresponsive

Question 12

What are we looking for in pupils

Answer 12

Are the reactive, are they equal?

Question 13

What is the normal respiratory rate?

Answer 13

12-18 breaths per minute

Question 14

Who many beats per minute is normal for a pulse

Answer 14

60-100 beats per minute

Question 15

What is the terminology for blood pressure, what do they mean

Answer 15

Systolic pressure is less than 120
Diastolic pressure is less than 80

Question 16

What is the normal number for BSL ( blood sugar levels)

Answer 16

4-7

Question 17

What is the normal percentage of Sp02

Answer 17

95% and above.. anything lower is bad

Question 18

Normal temp?

Answer 18

It varies, 36-37,, or even to 38

Question 19

Capnography

Answer 19

Between 35-45mmHg

Question 20

What are the terminology you would look for when doing a head to toe

Answer 20

Is there pain, deformities, bleeding, bruising, presence of fluid, swelling

Question 21

History taking. What does sampled mean

Answer 21

Signs and symptoms, what’s going on today
Allergies, are you allergic to anything? If so what is your reaction
Medications, are you on any medication
Past medical history, has this happened before, do u suffer from another medical condition
Lasts of lasts, last meal, last bowel movement and last GP visit
Events leading up, what were you doing when it started, how long ago
Directive if old

Question 22

History taking. OPQRST

Answer 22

Onset, when did the pain start
Provocation, does anything make the pain better or worse
Quality, what does your pain feel like
Radiation, does your pain radiate anywhere or stay in the same place
Severity, what would you rate your pain on a scale 1-10
Time, treatments and trends

Question 23

History taking, IMISTAMBO

Answer 23

Identification
Mechanism, what is the injury or presenting problem
Injuries, patient assessment and relevant history
Signs and symptoms, vital signs and GCS
Treatment, interventions and responses to treatment
Allergies
Medication
Back ground, medical history
Other issues