Scene And Primary Assessment Flashcards
Learn the orders of scene, primary and secondary assessments.
Primary Assessment:
What is the General Impression?
In this stage confirm the patients chief complaint, assess the environmental factors, trauma or illness? Age or gender?
Primary Assessment: what is the Patients level of consciousness?
Does the patient have a altered mental state? What category of consciousness are they?
Primary Assessment: is the airway clear? Concious actions.
Are they speaking clearly? In full sentences?
Primary Assessment: what is the condition of the patients airway? Unconscious.
Ensure airway is clear.
Primary Scene Assessment: Airway, illness. How do you move the head?
Head tilt or chin lift.
Primary Assesment: Airway, trauma. How do you move the head?
Jaw thrust maneuver.
Primary assessment: Breathing
Check for signs of breath, respiratory rate, and movement during respiration
Primary Assessment: Circulation, conscious:
Adult: Use Radial pulse point
Children: Use Brachial Pulse Point
Rate and Rhythm for both.
Primary Assessment: Circulation: Unconscious:
Adult: Check Carotid Artery.
Child: Check Brachial Artery
check for bleeding.
Primary Assessment: EMS Update
report age/gender, chief complaint, level of consciousness, airway/breathing status, circulation satus and ask for an eta
Primary Assessment: What is the order of the primary assessment?
General impression, Level of consciousness, Airway, breathing, circulation, EMS Update.
Patient Assessment Plan: What is the order of the Patient assessment plan?
Scene Assessment, primary assessment, secondary assessment, patient history, ongoing assessment, patient handoff
Secondary Assessment: What is the order of the secondary assessment?
Head, neck, chest, abdomen, pelvis, extremities, vital signs
Secondary Assessment: Head
Perform DCAPBLSTIS on the head
Deformities, Contusions, Abrasions, Punctures, Burns, Lacerations, Swelling, Tenderness, Instability, Crepitus
Secondary Assessment: Neck
Perform DCAPBLSTIS on Neck
Deformities, Contusions, Abrasions, Punctures, Burns, Lacerations, Swelling, Tenderness, Instability, Crepitus
Secondary Assessment: Chest
Perform DCAPBLSTIS on chest, and shoulders
Deformities, Contusions, Abrasions, Punctures, Burns, Lacerations, Swelling, Tenderness, Instability, Crepitus
Secondary Assessment: Abdomen
Perform DCAPBLSTIS on Abdomen
Deformities, Contusions, Abrasions, Punctures, Burns, Lacerations, Swelling, Tenderness, Instability, Crepitus
Secondary Assessment: Pelvis
Perform DCAPBLSTIS on Pelvis. Deformities of pelvis aren’t apparent
(Deformities, Contusions, Abrasions, Punctures, Burns, Lacerations, Swelling, Tenderness, Instability, Crepitus)
Secondary Assessment: Extremities
Perform DCAPBLSTIS on extremities, pulpate both dorsalis pedis and posterior tibial Pulse in feet
(Deformities, Contusions, Abrasions, Punctures, Burns, Lacerations, Swelling, Tenderness, Instability, Crepitus)
Ongoing Assessment: What is the order of the Ongoing Assessment?
Repeat the Primary Assessment, repeat the secondary assessment including vital signs, reassess treatment and interventions, calm and reassure the patient.
Ongoing Assessment: How frequently should the ongoing assessment be completed?
Every 5 minutes on an unstable patient, every 15 in a stable patient.
note, be compassionate and do not leave the patient alone.
Ongoing Assessment: What is the purpose of the ongoing assessment?
To reassess: The AVPU, airway problems, breathing problems, pulse rate/quality, blood pressure, skin temperature/colour/condition, to repeat the necessary components of the secondary assessment, to reassess the effectiveness of treatments, and to continue calming the patient.
Load and go: order
Scene assessment, Patient overview, spinal motion restriction decision, Loc/ABC, Head to toe examination, transport decision, reassess LOC/ABC, sample history, OPQRST, AEIOUTIPS, 1st Vital signs, treatment plan, Secondary Assessment, 2nd Vital Signs, patch to receiving at hospital.
Load and Go: Perform on Scene
Scene Assessment, Patient Overview, Spinal Motion restricting decision, LOC/ABC, head to toe examination, transport decision
Load and Go: Perform enroute in back of the ambulance
Reassess LOC/ABC, sample history, OPQRST, AEIOUTIPS, 1st Vital signs, treatment plan, secondary assessment, 2nd vital signs, patch to recieving hospital.
Stay & Stabilize Scenario: Order
Scene Assessment, patient overview, spinal motion restriction decision, LOC/ABC, head to toe examination, transport decision, Reassess LOC/ABC, Sample History, OPQRST, AEIOUTIPS, 1st vital signs, Treatment plan, Secondary assessment, 2nd vital signs, patch to receiving hospital.
Stay and Stabilize: Perform on Scene
Scene Assessment, patient overview, spinal motion restriction decision, LOC/ABC, head to toe examination, transport decision, Reassess LOC/ABC, sample history, OPQRST, AEIOUTIPS, 1st vital signs, treatment Plan
Stay & Stabilize: Perform enroute in the back of the ambulance
Secondary Assessment, 2nd vital signs, Patch to receiving Hospital
