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Flashcards in Patient Assessment Deck (15):
1

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?)

2

Normal range of O2 saturation

95-100%

3

Normal respiratory rate

12-20 per minute (+- 4, faster for kids)

4

How to categorize / describe symptoms such as pain

Onset
Provokes/palliates
Quality (dull, sharp, aching, throbbing, intermittent)
Radiate/refer
Severity (1-10, 10 is worst pain ever felt)
Time/trend

5

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.

6

Normal blood pressure

Adults: 120/80
or
100+patient age / 60 to 90

7

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?

8

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

9

SAMPLE History

Signs/symptoms
Allergies
Medications
Pertinent medical history
Last intake/output
Events leading up to problem
"Anything else I should know?"

10

DCAP BTLS

What to look and feel for during patient exam.
Deformities
Contusions
Abrasions
Punctures
Burns
Tenderness
Lacerations
Swelling

11

Vital signs

1. Time
2. LOR
3. HR
4. RR
5. Skin: color, temp, moisture
6. O2 saturation
7. BP
8. Pupils
9. Temp

12

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

13

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.

14

Normal heart rate

Adult: 50-100 beats/min
Child (1-8 years): 80-100
Infant: 120-140

15

How to measure blood pressure

systolic (1st sound)
_____________
diastolic (when you stop hearing beat)