Initial Assessment and Management Flashcards
(63 cards)
8 components of a scene size up?
- Review dispatch info
- Assess need for BSI
- Assess need for scene safety
- Determine MOI
- Determine NOI
- Determine number and location of patients
- Determine need for additional resources
- Consider C-spine immobilization
8 components of a initial assessment
- Poor general impression
- Assess mental status and maintain spinal immobilization as needed
- Assess circulation
- Assess airway
- Assess breathing
- Assess disability; movement of extremities
- Expose and examine
- Identify priority patients
When assessing circulation in initial assessment you should be rapidly evaluating for?
Pulse, major bleeding, skin color and temperature. Assess need for defibrillation.
What does AVPU stand for?
Alert
Alert to verbal
Responds to pain
Unconcious
What do you look for while assessing circulation?
Pulse
Bleeding
Skin color
Skin temp
What patients are considered priority?(10)
Poor general impression Unresponsive Responsive but does not follow commands Difficulty breathing Hypoperfusion or shock Complicated child birth Chest pain with systolic BP less than 100 Uncontrolled bleeding Severe pain anywhere Multiple injuries
A patient with chest pain and a BP less ______ is considered priority?
100
What does a secondary assessment consist of?
Head to toe survey
Neurological assessment
Vital signs
Medical history
What does a neurological assessment consist of?
Pupillary response
GCS
What vital signs are checked in a secondary assessment?
Respirations Pulse BP Cap refill Skin condition Lung sounds
What do you look for when assessing skin conditions?
Color
Temperature
Moisture
What does SAMPLE stand for?
Symptoms-assessment of chief complaint Allergies Medications Past medical HX Last oral intake Events leading up to illness or injury
What does OPQRRRST stand for?
Onset Provocation Quality Radiation Referred Relief Severity Time
Other assessment techniques?
Cardiac monitoring Pulse oximetry Glucose determination Monitor temp Capnography
When would you administer oxygen when spontaneous breathing is present without compromise?
Oxygen saturation below 94%
How should you administer oxygen when spontaneous breathing is present with compromise?
Non-rebreather
10-15 LPM
What airway device should be considered for a Unconcious patient with compromise?
OPA or NPA
What should be considered for a Unconcious patient accepts a OPA?
Supraglottic device
When can a EMT insert a supraglottic device?
When authorized by the medical director
When should you use assisted ventilations with a BVM?
As needed
What LPM of oxygen should you use when assisting ventilations with a BVM?
15-25 LPM
When do you suction?
As needed
When do you use a pulse oximeter and Capnography is a patient with respiratory compromise?
As soon as possible
What O2 level do you want to try and maintain in a patient with absent or markedly compromised spontaneous breathing when assisting ventilations?
94%
