Trauma Assessment Flashcards
Scene Size-up
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 1
Considers stabilization of the spine
Primary Survey/Resuscitation
- Verbalizes the general impression of the patient
- Determines responsiveness/level of consciousness
- Determines chief complaint/apparent life-threats
AIRWAY
-Opens and assesses airway (1 point)
-Inserts adjunct as indicated (1 point)
BREATHING
-Assess breathing
-Assures adequate ventilation
-Initiates appropriate oxygen therapy
-Manages any injury which may compromise breathing/ventilation
CIRCULATION
-Checks pulse
-Assess skin [either skin color, temperature or condition]
-Assesses for and controls major bleeding if present
-Initiates shock management [positions patient properly, conserves body heat]
Identifies patient priority and makes treatment/transport decision (based upon calculated GCS)
History Taking
Obtains baseline vital signs [must include BP, P and R]
Attempts to obtain SAMPLE history
Signs and Symptoms
Allergies
Medications
Past Medical History
Last Oral Intake
Events leading up to event
Secondary Assessment
HEAD
-Inspects and palpates scalp and ears
-Assesses eyes
Inspects mouth, nose and assesses facial area
NECK**
-Checks position of trachea -Checks jugular veins
-Palpates cervical spine
CHEST**
-Inspects chest
-Palpates chest
-Auscultates chest
ABDOMEN/PELVIS**
-Inspects and palpates abdomen
-Assesses pelvis
-Verbalizes assessment of genitalia/perineum as needed
LOWER EXTREMITIES**
-Inspects, palpates and assesses motor, sensory and distal circulatory functions
UPPER EXTREMITIES
-Inspects, palpates and assesses motor, sensory and distal circulatory functions
POSTERIOR THORAX, LUMBAR AND BOTTOCKS
-Inspects and palpates posterior thorax
-Inspects and palpates lumbar and buttocks areas
Manages secondary injuries and wounds appropriately
Reassessment
Demonstrates how and when to reassess the patient