Scene Surveys

Question 1

Before actually assessing the patient, what needs to be done? (7 things)
Bats
Take
Ham
Before
Noticing
Mysterious
Bologna

Answer 1

(1) BSI - Body Substance Isolation - Must be worn by each member of the crew prior to patient contact.
(2) Time/Weather - Note time for interventions and note weather for possible explanations of patient presentation.
(3) Hazards - Identify and Mitigate the hazard (CRITICAL INTERVENTION)
(4) Back Up - Identify the resources required, and call them early. Resources can always be cancelled if not required.
(5) Number of Patients - note the number of patients, and determine further resources required.
(6) Mechanism of Injury - Note any obvious injury and note the cause.
(7) Bystander information - Note any bystanders on scene, and make sure to ask for information. This will not be provided to you unless you ask for it. This may also help to determine patient presentation and history

Question 2

What does “SIMBBARIIP” (chest and abdomen assessment) stand for?

Answer 2

SIMBBARIIP (Used for Chest and Abdomen Assessment)

S - Scars (Previous Surgical Scars)
I - Implanted Devices (Defibrillators, Pacemakers)
M - Medication Patches (long term medication treatment)
B - Barrel Chest (Chest Assessment) (From Emphysema, a rounding of the chest)
B - Bowel Sounds (Abdomen Assessment) (present or not by auscultating the abdomen)
A- Accessory Muscle Use (muscles in neck and chest used to assist breathing)
R - Rash
I - Injection Marks (from medication or drug administration/use)
I - Injuries (any noted injury)
P - Pain

Question 3

What does “PRIIMMES” (head, neck, pelvis, extremeties, back assessment) stand for?

Answer 3

PRIIMMES (Used for Head, Neck, Pelvis, Extremities and Back Assessment)

P - Pain
R - Rash
I - Injection Marks
I - Injuries
M - Medication Patches
M - Medic Alert Tags
E - Edema (swelling due to fluid build up under the skin)
S - Scarring

Question 4

What does the trauma acronym “DCAPPBTLS” stand for?

Answer 4

DCAPPBTLS

D - Deformities (any abnormality)
C - Contusions (bruise)
A - Abraisons (road rash)
P - Penetrations (stab wounds)
P - Paradoxical Motions (Chest Only) (chest wall movement problems)
B - Burns 
T - Tenderness (pain with palpation)
L - Lacerations (cuts)
S - Swelling

Question 5

What does the trauma acronym “TICS” stand for?

Answer 5

TICS

T - Tenderness
I - Instability
C - Crepitations (bone on bone grinding)
S - Subcutaneous Emphysema (Neck and Chest Only) (Air bubbles under the skin)

Question 6

Before any treatment can begin, you must do SAMPLE, what does it stand for?

Answer 6

Signs and Symptoms - What you see and what the patient complains of.
A-llergies
M-edications - current prescriptions, herbal medications, OTC, and recreational drugs.
P-ast Medical History
L-ast oral intake
E-vents leading up to the incident.

Question 7

If the patient has a pain complaint, the “OPQRST” assessment must be done. What does it stand for?
(FYI, this is only done on conscious patients)

Answer 7

Onset - When did it start?
Provocation - What makes it worse? Anything make it better?
Quality - What does it feel like?
Radiation - Does the pain travel anywhere else?
Severity - On a scale of 0-10, what is your pain if 0 is no pain and 10 is the worst pain you have ever felt? What are you comparing it to?
Time - constant or coming and going?

Question 8

What does the Hospital Patch include?

Answer 8

(1) our unit and name
(2) Patient age
(3) chief complaint
(4) vital signs
(5) Interventions and patient response to the interventions