Lecture 2: Secondary Assessment Flashcards

1
Q

What is the order of areas you palpate?

A
Head. (back of skull first) 
Face
Neck C-Spine
Neck soft tissue
Chest (sternum)
rib 
Abdomen (divide in 4 quadrants, expose)
Pelvis (compress)
Lower back
• Leg#1 
• Leg #1 PMSC
• Leg#2
• Leg #2 PMSC
• Arm#1
• Arm #1 PMSC
• Arm#2
• Arm #2 PMSC
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2
Q

Do you palpate what you can see first or what you cant see? and why

A

WHAT YOU CANT SEE FIRST to check for blood

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3
Q

What does the secondary assessment assess?

A

Signs of potential injuries that if left untreated in next minutes to hours would cause death or disability

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4
Q

What are the things youre looking for in a secondary assessment

A

DCAP BTLS

Deformation, contusions, abrasions, punctures, burns, tenderness, lacerations, swelling

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5
Q

True or false and why: throughout the exam you must check the facial expressions of the athlete?

A

True, to check for any signs of discomfort

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6
Q

If an injury is found do you stop the assessment to treat it?>

A

No , you take note and treat it after the assessment is done to ensure you dont miss somehhing more crucial

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7
Q

When you are treating an area do you have to expose it ?

A

yes

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8
Q

In which of these positions do you NOT have to do trauma jaw thrust?

*Supine athlete
• Semi-prone athlete
• Prone athlete

A

semi prone and prone

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9
Q

What does SAMPLE stand for and how do you obtain it>?

A
S= signs and symptoms
A=allergies
M=medications
P= past med history in the last 6 months
L=last intake
E= events leading up to injury 

Obtain it through medical forms and coaches/teamamtes if unconcious

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10
Q

What are the pain questions and describe them

A
OPQRST 
o=onset (sudden or not)
p=provoke (what makes it better what makes it worse
q= quality (describe pain)
r= radiate (does it spread)
s= severity
t= time (when did it happen)
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11
Q

True or false: you can obtain OPQRST if the patient is unconcious?

A

FALSE

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12
Q

If athlete has a medical condition, when do you take vitals>

A

You take vitals right after primary assessment

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13
Q

What is the order of treatment and describe them

A
DEFG
d=disabilities (spine, concussion, intracranial lesion)
E=epithelial (bleeds, cuts, burns)
f= fractures (open or closed)
g=sprains, strains, everything else
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14
Q

What is the purpose of the first set of vitals? the second set of vitals?

A

1st: establish a baseline
2nd: cmopare to baseline and see status of patient

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15
Q

What are some of the different ways of transport off the field?

A
Spinal board 
Walk assist 
Carry
Wheel chair 
Cart
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16
Q

When do you take the 3rd set of vitals

A

After the transport off the field (15-20 minutes after intervention)

17
Q

how do you report to the EMT?

A
  • Present yourself and qualifications
  • give a narrative report and field impression
  • brielfly describe treatment and responsive
  • give vitals and meds and allergies
18
Q

What is the acronym to reporting to EMT and explain it

A

ATMIST

A= age and name
t= time
m= MOI
i=injuries 
s= signs and symptoms
t= treatment
19
Q

What are some essential things you can give to an emt>

A
photocopy of the athlete’s medical form •
 the vitals you took
• photocopy of the SCAT5 assessment
• RAMQ card
• Athlete’s meds
• Any other pertinent info or objects
20
Q

What should you not forget after EMT takes over?

A
  • which hospital going to
  • Material exchange
  • ambulance #
  • What can be better
  • thank you
21
Q

What are the general intervention steps ?

A
- Scene survey & approach
• Head stabilization
• Primary assessment UABCd/UCABd 
• Secondary assessment
• Vitals (baseline)
• Treatment DEFG
• Vitals (2nd set)
• Transport off field
• Vitals (3rd set)
• Report to EMT