T6- Detailed Physical Exam

Question 1

First step

Answer 1

BSI

Question 2

Assess the head

Answer 2

• Inspect for DCAP-BLS
• Palpate for TIC
• Use pen light to check for PERRL
• Inspect for raccoon eyes and battle sign behind the ears
• Inspect the mouth for broken teeth or airway obstructions
• Inspect the nose, mouth, and ears for CSF or blood

Question 3

Treating eye lacerations

Answer 3

CONSCIOUS
- Position the casualty and remove headgear (sits up)
- Visual acuity testing (how many fingers am I holding up)
- Examine the eyes for COBBLES (ask if they are wearing contacts and write it down)

UNCONSCIOUS
- Position the casualty and remove headgear (elevate the head)
- Examine the eyes for COBBLES

TREAT
- Place gauze on injured eye
- Place fox eye shield
- Tape down with two pieces
- Cover the uninjured eye with gauze
- Tape down with two pieces

Question 4

Assess the neck

Answer 4

• Inspect for DCAP-BLS
• Palpate C-spine for TIC and step off
• Inspect for JVD
• Inspection for tracheal deviation

Question 5

Assess the chest

Answer 5

• Inspect for DCAP-BLS and equal rise and fall of the chest
• Ausculate four quadrants
• Palpate for TIC
• Observe for progressive respiratory distress

Question 6

Assess the abdomen

Answer 6

• Inspect for DCAP-BLS
• Palpate for TRD (if there ISNT an abdominal wound)

Question 7

Treat an abdominal wound

Answer 7

• Position the casualty (flex the knees and turn the head to the side)
• Expose the wound
• Inspect for BED
• Apply a sterile MOIST dressing. Use IV fluids to moisten
• Wrap the bandage and apply tape to secure

Question 8

Assess the pelvis

Answer 8

• Inspect for DCAP-BLS
• Apply pelvic binder if needed (should already be there from hypothermia lane)
• Gently check for TIC (if NO PELVIC BINDER)
• Inspect genetalia and perineum for MAP-B

Question 9

Assess the lower extremities

Answer 9

• Inspect for DCAP-BLS
• Palpate for TIC
• Check for PMS

Question 10

Assess the upper extremities

Answer 10

• Inspect for DCAP-BLS
• Palpate for TIC
• Check for PMS

Question 11

Treat an arm fracture

Answer 11

CONSCIOUS
- Have the casualty sit up
- Remove all jewelry
- Expose the site
- Check distal pulse and CRT on the injured arm
- Measure and shape the splint
- Secure with elastic bandage leaving room to recheck pulse and CRT
- Recheck pulse and CRT
- Circumferentially wrap in place
- Apply and sling to broken arm
- Swathe broken arm to uninjured side

Question 12

Perform ongoing assessment
(Last step)

Answer 12

PDIVE every 5 to 15 minutes

Question 13

Gather vital signs
(Second to last step)

Answer 13

Using SPO2 and asking “what is the HR, SPO2, RESP, and blood pressure?”