NREMT Trauma Assessment

Question 1

Front

Answer 1

Back

Question 2

Scene Size-Up

Answer 2

• Determines scene/situation is safe
• Determines mechanism of injury (MOI)
• Determines number of patients
• Requests additional EMS assistance if necessary
• Considers stabilization of spine

Question 3

Primary Assessment

Answer 3

• Verbalizes general impression of the patient
• Determines responsiveness/level of consciousness (AVPU)
• Determines chief complaint/apparent life threats
• Airway:
  
  • Opens and assesses airway
  • Inserts adjunct as needed
• Breathing:
  
  • Assesses breathing
  • Assures adequate ventilation
  • Initiates oxygen therapy
  • Manages any injury compromising breathing
• Circulation:
  
  • Checks pulse
  • Assesses skin (color, temperature, condition)
  • Assesses/control major bleeding
  • Initiates shock management (position & heat conservation)
• Identifies patient priority and makes transport decision

Question 4

History Taking

Answer 4

• Attempts SAMPLE history (if possible, based on patient status)

Question 5

Secondary Assessment (Head-to-Toe)

Answer 5

• Head: Inspects/palpates scalp and ears; eyes; face; oral/nasal
• Neck: Checks tracheal position, jugular veins, palpates c-spine
• Chest: Inspects, palpates, auscultates chest
• Abdomen/Pelvis: Inspects/palpates abdomen, assesses pelvis, checks genitalia/perineum as needed
• Lower Extremities: Inspects/palpates, checks PMS
• Upper Extremities: Inspects/palpates, checks PMS
• Posterior: Inspects/palpates posterior thorax and lumbar

Question 6

Vital Signs

Answer 6

• Obtains blood pressure
• Obtains pulse
• Obtains respiratory rate and quality
• Manages secondary injuries based on assessment findings

Question 7

Reassessment

Answer 7

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