Rapid Scene Assessment Steps

Question 1

Scene Evaluation Steps (HEMPABC)

Answer 1

Hazards, Environment, Mechanism of Injury/Nature of Illness, Patients (how many), BSI, Condition of patient on approach

Question 2

Primary Survey

Answer 2

LOC, Spinal Precautions, Airway, Breathing, Circulation, Rapid Body Survey, interventions, Skin, Oxygen, Airway, Position, Transport Decision

Question 3

Secondary Survey

Answer 3

History
Vital signs
Head-to-toe examination
Functional inquiry (PCP)

Question 4

Treatments

Answer 4

Wound Care
Fracture management
Spinal management
Burn management
Management of specific injuries
and conditions

Question 5

Load and Transport

Answer 5

Forms
Reports

Question 6

c-spine interventions indications

Answer 6

Meets NEXUS or Canadian C-Spine indications
Obvious injury above the level of the clavicles
Unconscious patient where trauma cannot be reasonably ruled out

Question 7

Obstructed airway procedures indications

Answer 7

• Absence of respiration
• Inability to ventilate the patient

Question 8

Airway maintenance and suctioning indications

Answer 8

• Decreased level of consciousness (LOC)
• Presence of fluids or potential obstructions in upper airway

Question 9

Ventilating the non-breathing patient indications

Answer 9

• Absence of respirations

Question 10

Assisting inadequate or failing
respirations indications

Answer 10

• Abnormally fast or slow respirations
• Distressed respirations
• Shallow or labored respirations, especially in the presence of decreasing
  LOC, cyanosis, or decreased O2 Saturations.

Question 11

Sealing open chest wounds indications

Answer 11

• Open chest wounds

Question 12

Performing CPR indications

Answer 12

• Absence of carotid pulse

Question 13

Controlling hemorrhage indications

Answer 13

• Major hemorrhage

Question 14

Binding pelvis indications

Answer 14

• Suspected fracture due to mechanism or unstable pelvis, including shock
  like symptoms with MOI.

Question 15

Stabilizing fractures indications

Answer 15

• Suspected fractures

Question 16

Initiating cooling of burns indications

Answer 16

• Major burns

Question 17

Realigning limb fractures indications

Answer 17

• Fractured limbs that are grossly deformed or with no distal pulses

Question 18

Oxygen indications

Answer 18

• Altered LOC
• Respiratory distress
• Pain
• Trauma
• Evidence of shock (e.g., tachycardia, tachypnea, pallor, cyanosis)

Question 19

Gradual warming indications

Answer 19

• Hypothermia

Question 20

Rapid cooling indications

Answer 20

• Hyperthermia

Question 21

MVA Critical History Questions (12)

Answer 21

• Location of patient
• Which vehicle was the patient in?
• How many vehicles involved
• Type of vehicle(s)
• Impact speed
• Exterior damage
• Interior damage/Compartment Intrusion
• Type of restraints
• Initial position and condition of patient
• Loss of consciousness
• Condition of other patients – fatality in same vehicle
• Vehicle equipped with airbags – were they deployed

Question 22

Fall Critical History Q’s (9)

Answer 22

• Where from
• Height
• Free fall or hit other objects during fall
• Landing surface
• Position of patient at impact – what hit first
• Initial position and condition of patient
• Has the patient moved or been moved since the incident?
• Any loss of consciousness
• Cause of fall