Flashcards in Patient Assessment Deck (15):
Five steps of scene size up
1. Scene safety (I am #1)
2. Mech of Injury / Spine (What happened to you?)
3. Body substance isolation (Don't get it on me!)
4. Other patients? (Are there more?)
5. General impression (Dead or alive?)
Normal range of O2 saturation
Normal respiratory rate
12-20 per minute (+- 4, faster for kids)
How to categorize / describe symptoms such as pain
Quality (dull, sharp, aching, throbbing, intermittent)
Severity (1-10, 10 is worst pain ever felt)
SOAP note includes
Subjective: chief complaint, age, MOI or illness, position found, time arrived.
Objective: patient assessment findings, vitals, history.
Assessment: list of possible problems.
Plan: Treatment plan for each problem.
Normal blood pressure
100+patient age / 60 to 90
Scene size up top seven
1. Scene safety
2. General impression: sick/not sick
3. Mech of injury / history of present illness
4. Obtain consent
5. Number of patients (ask)
6. Body substance isolation
7. Do we need additional resources?
How to check CSM
Circulation - warmth, pulse, cap refill
Sensation - "What am I doing" (touch finger/toe)
Motion - hands: squeeze two fingers;
feet: push down, pull up
Pertinent medical history
Events leading up to problem
"Anything else I should know?"
What to look and feel for during patient exam.
5. Skin: color, temp, moisture
6. O2 saturation
Protect the spine with these MOI
1. Fall from >1 meter
2. Landing on head or neck
3. Excessive extension / flexion
4. Feel/see spine deformity
5. Speed (cars, skis, bikes)
6. Falling over object
7. Blunt force trauma
Focused Spine Assessment
1. Reliable patient
-LOR=A+O x3 or 4
-Patient not altered
-No distracting injuries
2. Intact CSM in all extremities
3. No pain or tenderness on spine palpation
Failure: immobilize, evac. Or reassess in 20 minutes.
Normal heart rate
Adult: 50-100 beats/min
Child (1-8 years): 80-100