Scene Survey Flashcards
Patient Assessment 2 components
Two primary components
1. Information gathering:
MOI for trauma patients
NOI for medical patients
Ascertain the history of the events leading up to EMS activation, gather a SAMPLE Hx, etc
- Physical examination
Patient Assessment steps
Assessing the environment
Determine the Chief Complaint
Assess and address life-threatening problems
Quickly evaluate, identify and intervene
Elicit the patients Medical history
Perform a thorough and detailed Physical examination
Patient assessment fundamental components
Identify problems- done during primary and secondary survey
Set priorities- determine immediate threats to life/limb (during primary and RTA/RMA)
Develop a care plan- how will you intervene
Execute the plan- perform your interventions and reassess
Patient assessment lifethreatening conditions
Must always ask yourself “does my pt have any life threatening conditions?” If so, they must be quickly identified and treatment executed
ie. SMR,
unprotected A/W
inadequate breathing
traumatic injuries (massive hemorrhage)
Patient assessment info gathering
Gather information
Primary source of information is usually the patient
Other sources include the patient’s family, friends or eyewitnesses to the emergency event
Be observant, it may be necessary to gather information from the scene itself
Safety
First and foremost concern at any emergency
Your safety and the safety of other paramedics and rescue team
You are of no value if you get injured and can’t provide care
C-ECMCA-P
Confirm the call information with dispatch
- Environmental hazard check
- Mechanism of injury
- Casualty numbers
- Additional resources required
- Personal protection required
ss enviroments
Collision and rescue scenes
Unstable vehicles
Moving traffic
Jagged metal and broken glass
Fire or explosion hazards
Downed power lines
Leaking fuel
Toxic substances
From lawn and garden chemicalsto industrial and manufacturingchemicals
Major hazmat scenes- industrial sites or vehicular
Smoke/fire
Don proper body and respiratoryprotection
Crime scenes- potential for further violence
Behavioral emergencies- potential to turn violent
Agitated or excited delirium
Environmental- weather related- frigid temperature, extreme heat, torrential downpour, fog, etc
icy roads, walk-ways, stairs
MOI NOI
Trauma or Medical
Mechanism of injury/ nature of illness- what happened?
Why did you call for Paramedics to attend?
Maybe blatantly obvious or require further investigation
One could cause the other. Ie. MI or hypoglycemia leading to MVC
MOI Trauma
Mechanisms
High-speed motor vehicle collision
Vehicle–pedestrian collision
Motorcycle/ATV collision
Penetrating wounds to thehead, chest, or abdomen
Other causes of injury
Seat belts
Airbags
Child safety seats
Life threatening Trauma
Mechanisms that have the potential to produce life-threatening injuries:
Ejection from any vehicle
Death of another patientin the same passengercompartment
Falls from height
Vehicle rollover
Casualties
Determine the number of casualties or patients you may encounter at the emergency
The number of patient’s at some emergencies may not be immediately obvious and require further investigation ie. CO poisoning, MVC ejected, others?
Allied agencies
Do you require assistance from other services or specialties?
If you think you need them, request them!!
PPE-Routine Precautions
Properly sized gloves should be worn on every call
If blood or other fluids could splash, you should wear eye protection
If inhaled particles are a risk factor, wear a properly sized and fitted mask
Always better to err on the side of caution
Assume the potential for infectious disease transmission
