Skills: Patient Assessment/ Management- Medical

Question 1

What is the first step?

Answer 1

Takes or verbalizes appropriate PPE precautions

Question 2

What are the duties of the EMT? (Broad overview)

Answer 2

1. Appropriate PPE precautions
2. Scene size-up
3. Primary Survey/Resuscitation
4. History Taking
5. Secondary Assessment
6. Vital signs
7. Reassessment

Question 3

What are the roles/steps of the “Scene size-up”? (5)

Answer 3

1. Determines the scene/situation is safe
2. Determines the mechanism of injury/nature of illness
3. Determines the number of patients
4. Requests additional EMS assistance if necessary
5. Considers stabilization of the spine

Question 4

What are the roles/steps of the “Primary survey/resuscitation”? (6)

Answer 4

1. Verbalizes general impression of the patient
2. Determine responsiveness/level of consciousness (AVPU)
3. Determines chief compliant/ apparent life-threats
4. Assesses airway and breathing
5. Assesses circulation
6. Identifies patient priority and makes treatment/transport decision

Question 5

During “Primary survey/resuscitation”, what is involved with the “assesses airway and breathing” step? (3)

Answer 5

• Assessment
• Assures adequate ventilation
• Initiates appropriate oxygen therapy

Question 6

During “Primary survey/resuscitation”, what is involved with the “Assesses circulation” step? (3)

Answer 6

• Assesses/controls major bleeding
• Assesses skin (either color, temperature, or condition)
• Checks pulse

Question 7

What are the roles/steps of the “History Taking”? (2)

Answer 7

1. History of the present illness (OPQRST)

2. Past medical history

Question 8

During “History Taking”, what is involved with the “History of the present illness” step? (7)

Answer 8

• Onset
• Provocation
• Quality
• Radiation
• Severity
• Time
• Clarifying questions of associated signs and symptoms related to OPQRST

Question 9

During “History Taking”, what is involved with the “Past medical history” step? (5)

Answer 9

• Allergies
• Medications
• Past pertinent history
• Last oral intake
• Events leading to present illness

Question 10

What are the roles/steps of the “Secondary Assessment”? (1)

Answer 10

1. Assesses affected body part/system

Question 11

During “Secondary Assessment”, what is involved with the “Assesses affected body part/system” step? (8)

Answer 11

• Cardiovascular
• Pulmonary
• Neurological
• Musculoskeletal
• Integumentary
• GI/GU
• Reproductive
• Psychological/Social

Question 12

What are the roles/steps of the “Vital signs”? (5)

Answer 12

1. Blood Pressure
2. Pulse
3. Respiratory rate and quality
4. States field impression of patient
5. Interventions (verbalizes proper interventions/treatment)

Question 13

What are the roles/steps of the “Reassessment”? (2)

Answer 13

1. Demonstrates how and when to reassess the patient to determine changes in condition
2. Provides accurate verbal report to arriving EMS unit