Mod D Tech 20 Patient examination, assessment & Flashcards Preview

Technician Course MOD D 2016 > Mod D Tech 20 Patient examination, assessment & > Flashcards

Flashcards in Mod D Tech 20 Patient examination, assessment & Deck (20):
1

Principles of Ambulance Aid

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2

List Stages of Pre-Hospital Care

1.Scene Survey

2.Primary Survey

3.Secondary Survey

4.Patient Management / Transport

5.Reassessment

6 Pre-alert

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1.Scene Survey

Ensure that:

•Correct PPE is worn

Look for:

•Dangers

•Number of casualties

•Mechanism of injury

•Patient position

•Obvious injuries

•Assistance already on scene

Consider:

•Extra resources required

4

.Primary Survey

Initial, rapid assessment of the patient to identify and treat those conditions that present an immediate threat to life

[The Primary Survey is the first assessment made of every patient]

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Primary Survey

Primary Survey

Initial assessment:

  -   Catastrophic Haemorrhage 

  -   Airway
-   Breathing
-   Circulation
-   Disability (level of consciousness)

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(C) Catastrophic Haemorrhage

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(A) Airway

•Is it open? – if not, open and clear it

•Is there any suggestion of cervical spine injury?

••Maintain head and neck in neutral alignment

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(B) Breathing

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(C) Circulation

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(D) Disability

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•A -

•V -

•P -

•U -

•A - alert

•V - responds to voice

•P - responds to pain

•U - unresponsive

12

Secondary Survey

A systematic evaluation of the entire patient to detect less obvious or underlying problems.

It should only be carried out when all life-threatening conditions have been identified and treated

Two phases:

1.History taking

2.Physical assessment

History Taking

Refers to the events which caused the accident or the patient’s condition.

You should seek relevant medical history, together with details of medication or treatment which the patient is receiving

•Observation of the scene

-Mechanisms of injury

-Severity of injury

-Surroundings

•The patient

•Bystanders

•Relatives

•First Aiders

•Medical warning devices (“Medic Alert”, “SOS Talisman”)

13

History Taking

•Chief Complaint (OPQRSTA)

•SAMPLE History

•Signs & Symptoms

•Past Medical History

14

Physical Assessment

Physical Assessment

•General appearance and position of the patient

•Head to Toe examination

•Vital signs

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Vital Signs

•Pulse

••Respiration

••Temperature / skin colour

•Glasgow Coma Scale (GCS)

•Pupils

••Blood Sugar

••Pulse Oximetry

16

Respiratory Rates

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17

Heart Rates

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18

Glasgow Coma Scale

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19

GCS as an indicator of severity

•GCS 14-15 = mild

•GCS 9-13 = moderate

•GCS 3-8 = severe

 

GCS of less than 8 is considered to be coma

20

Trauma and Revised Trauma Score

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