Primary Assessment

Question 1

OPQRST

Answer 1

Onset - Did it start suddenly or over the course of a few hours/days?
Provocation - What provokes the pain, or causes it to get worse?
Quality - What kind of pain is occurring? (Ache, sharp, stabbing, throbbing, etc.)
Region & Radiate - Where is the pain and is the it moving distally or proximally?
Severity - On a scale of 0-10, how intense is the pain?
Time - When is the pain at its worst?

Question 2

DCAP BLS TIC

Answer 2

Depressions
Contusions
Abrasions
Penetrations

Burns
Lacerations
Swelling

Tenderness
Instability
Crepitus

Question 3

Distal Limbs: PMS

Answer 3

Pulse - Presence/quality (cap refill)
Motor - Can you move your fingers/toes?
Sensory - What digit am I touching?

Question 4

SAMPLE

Answer 4

Signs & Symptoms - What’s bothering you?
Allergies - Do you have an allergies and did you come into contact with it?
Medications - What meds do you take, and have there been any changes?
Past Medical History - What medical conditions do you have?
Last Oral Intake - What and when was the last thing you consumed, including meds or supplements?
Events Prior - What happened to cause this problem?

Question 5

Types of Patient Positioning

Answer 5

Lateral: Lying on side
Supine: Lying on back
Recovery: Halfway between prone and lateral
Fowler: Lying on back with body elevated at a 45-60 degree angle
Semi-Fowler: Lying on back with body elevated less than 45 degress
Trendelenburg: Lying on back with legs elevated higher than the head and body on incline

Question 6

Scene Assessment: HEMPEG

Answer 6

Hazards
Environment
Mechanism of Injury & Chief Complaint
Patients (#) & PPE
Equipment
General Impression

Question 7

Primary Assessment

Answer 7

Introduce yourself
Chief Complaint
Level of Responsiveness
Spinal Motion Restriction
ABC’s (Airway, Breathing, Circulation)
Pulse Oximetry
Rapid Body Survey
Transport Decision
Patient Positioning

Question 8

LOR: AVPU

Answer 8

Alert - Eyes open and able to verbalize coherent thought
Verbal - Eyes closed but patient responds to commands
Pain - Patient only responds to painful stimulus
Unresponsive - No response

Question 9

Rapid Body Survey

Answer 9

Head/Neck:
- Skin Check
-Bruising around eyes/ears
-Fluids leaving any facial orifice
- C-spine palpation

Chest:
- Paradoxical breathing (Clavicle and lateral rib cage)
-Other Respiratory distresses

Abdomen/Pelvis:
-Expose abdomen and look for internal bleeding
-Fracture check by gently compressing and gapping pelvis

Back:
- When possible, put hand in EXPOSED lumbar to palpate spine

Lower Extremity:
- Fracture check by shearing femur in 2 places
- Wet check leg
- Distal PMS

Upper Extremity:
- Wet check
- Distal PMS