NREMT Medical Assessment

Question 1

Scene Size-Up

Answer 1

• Determines scene/situation is safe
• Determines mechanism of injury or nature of illness
• Determines number of patients
• Requests additional EMS assistance if necessary
• Considers stabilization of spine

Question 2

Primary Assessment

Answer 2

• Verbalizes general impression of the patient
• Determines responsiveness/level of consciousness (AVPU)
• Determines chief complaint/apparent life threats
• Assesses airway and breathing
  
  • Assessment
  • Assures adequate ventilation
  • Initiates appropriate oxygen therapy
• Assesses circulation
  
  • Assesses/control major bleeding
  • Checks pulse
  • Assesses skin (color, temperature, condition)
• Identifies patient priority and makes treatment/transport decision

Question 3

History Taking

Answer 3

• OPQRST (Onset, Provocation, Quality, Radiation, Severity, Time)
• SAMPLE (Signs/Symptoms, Allergies, Medications, Past history, Last oral intake, Events leading to illness)

Question 4

Secondary Assessment

Answer 4

• Assesses affected body part/system:
  
  • Cardiovascular
  • Pulmonary
  • Neurological
  • Musculoskeletal
  • Integumentary
  • GI/GU
  • Reproductive
  • Psychological/social

Question 5

Vital Signs

Answer 5

• Obtains blood pressure
• Obtains pulse
• Obtains respiratory rate and quality
• States field impression
• Verbalizes proper interventions/treatment

Question 6

Reassessment

Answer 6

• States when to reassess (every 5 min for unstable, 15 min for stable)
• Verbalizes what to reassess:
  
  • Primary assessment
  • Vital signs
  • Chief complaint
  • Interventions