Scene assessment Flashcards
6 stages of scene assessment
-survey the scene
-initial assessment/ primary survey
-focused history and physical exam (secondary survey)
-patient management/ transport
-re-evaluate
-patient handover
Order of things to prioritise in terms of safety and what its called
DYNAMIC RISK ASSESSMENT
1. safety of rescuers (paramedics)
2.safety of patient
3.safety of others eg traffic, approach, PPE
3 things to think about when assessing the scene
-safety
-scene- mechanism of injury, read the wreckage
-situation (next flashcard)
How to describe a scene (situation)
ETHANNE
-Exact location
-Type of incident
-Hazards
-Access
-Number of casualties
-Need for assistance
-Emergency services needed
Scene survey (acronym)
SCENE
Safety- dynamic risk assessment
Cause- mechanism of injury, read wreckage
Environment- conditions, access
Number- how many patients
Extra- resources needed?
Doorway assessment
-appearance of distress
-sounds of distress
-position of comfort
-erratic behaviour
-unusual odours
-info from family/ bystanders
Patient assessment triangle
-General appearance
-work of breathing eg. quick, slow, laboured
-colour eg. pale
Dynamic risk assessment-
What to think about when carrying out a dynamic risk assessment
-ongoing assessment throughout the incident
Are there potential hazards to you?
Are bystanders at risk?
Is the patient in danger?
Steps of primary survey when patient unconscious
- SCENE assessment
-Safety
-Cause
-Enviro
-No. patients
-Extra resources?
2.Patient assessment triangle
-appearance
-work of breathing
-colour/ circulation - Catastrophic haemorrhage
-look for signs of haemorrhage - Patients response (AVPU)
-alert
-response to voice
-pain
-unresponsive
5.Airway
-check clear by looking in mouth
-head tilt chin lift - Breathing and circulation (10 secs)
-look for chest movement
-feel for breath
-find carotid pulse - If breathing put in recovery position (Halo)
-hand across face
-arm up
-leg
-roll over
-open airway by tilting chin
