Scene And Primary Assessment

Question 1

Primary Assessment:

What is the General Impression?

Answer 1

In this stage confirm the patients chief complaint, assess the environmental factors, trauma or illness? Age or gender?

Question 2

Primary Assessment: what is the Patients level of consciousness?

Answer 2

Does the patient have a altered mental state? What category of consciousness are they?

Question 3

Primary Assessment: is the airway clear? Concious actions.

Answer 3

Are they speaking clearly? In full sentences?

Question 4

Primary Assessment: what is the condition of the patients airway? Unconscious.

Answer 4

Ensure airway is clear.

Question 5

Primary Scene Assessment: Airway, illness. How do you move the head?

Answer 5

Head tilt or chin lift.

Question 6

Primary Assesment: Airway, trauma. How do you move the head?

Answer 6

Jaw thrust maneuver.

Question 7

Primary assessment: Breathing

Answer 7

Check for signs of breath, respiratory rate, and movement during respiration

Question 8

Primary Assessment: Circulation, conscious:

Answer 8

Adult: Use Radial pulse point
Children: Use Brachial Pulse Point
Rate and Rhythm for both.

Question 9

Primary Assessment: Circulation: Unconscious:

Answer 9

Adult: Check Carotid Artery.
Child: Check Brachial Artery
check for bleeding.

Question 10

Primary Assessment: EMS Update

Answer 10

report age/gender, chief complaint, level of consciousness, airway/breathing status, circulation satus and ask for an eta

Question 11

Primary Assessment: What is the order of the primary assessment?

Answer 11

General impression, Level of consciousness, Airway, breathing, circulation, EMS Update.

Question 12

Patient Assessment Plan: What is the order of the Patient assessment plan?

Answer 12

Scene Assessment, primary assessment, secondary assessment, patient history, ongoing assessment, patient handoff

Question 13

Secondary Assessment: What is the order of the secondary assessment?

Answer 13

Head, neck, chest, abdomen, pelvis, extremities, vital signs

Question 14

Secondary Assessment: Head

Answer 14

Perform DCAPBLSTIS on the head

Deformities, Contusions, Abrasions, Punctures, Burns, Lacerations, Swelling, Tenderness, Instability, Crepitus

Question 15

Secondary Assessment: Neck

Answer 15

Perform DCAPBLSTIS on Neck

Deformities, Contusions, Abrasions, Punctures, Burns, Lacerations, Swelling, Tenderness, Instability, Crepitus

Question 16

Secondary Assessment: Chest

Answer 16

Perform DCAPBLSTIS on chest, and shoulders

Deformities, Contusions, Abrasions, Punctures, Burns, Lacerations, Swelling, Tenderness, Instability, Crepitus

Question 17

Secondary Assessment: Abdomen

Answer 17

Perform DCAPBLSTIS on Abdomen

Deformities, Contusions, Abrasions, Punctures, Burns, Lacerations, Swelling, Tenderness, Instability, Crepitus

Question 18

Secondary Assessment: Pelvis

Answer 18

Perform DCAPBLSTIS on Pelvis. Deformities of pelvis aren’t apparent
(Deformities, Contusions, Abrasions, Punctures, Burns, Lacerations, Swelling, Tenderness, Instability, Crepitus)

Question 19

Secondary Assessment: Extremities

Answer 19

Perform DCAPBLSTIS on extremities, pulpate both dorsalis pedis and posterior tibial Pulse in feet
(Deformities, Contusions, Abrasions, Punctures, Burns, Lacerations, Swelling, Tenderness, Instability, Crepitus)

Question 20

Ongoing Assessment: What is the order of the Ongoing Assessment?

Answer 20

Repeat the Primary Assessment, repeat the secondary assessment including vital signs, reassess treatment and interventions, calm and reassure the patient.

Question 21

Ongoing Assessment: How frequently should the ongoing assessment be completed?

Answer 21

Every 5 minutes on an unstable patient, every 15 in a stable patient.
note, be compassionate and do not leave the patient alone.

Question 22

Ongoing Assessment: What is the purpose of the ongoing assessment?

Answer 22

To reassess: The AVPU, airway problems, breathing problems, pulse rate/quality, blood pressure, skin temperature/colour/condition, to repeat the necessary components of the secondary assessment, to reassess the effectiveness of treatments, and to continue calming the patient.

Question 23

Load and go: order

Answer 23

Scene assessment, Patient overview, spinal motion restriction decision, Loc/ABC, Head to toe examination, transport decision, reassess LOC/ABC, sample history, OPQRST, AEIOUTIPS, 1st Vital signs, treatment plan, Secondary Assessment, 2nd Vital Signs, patch to receiving at hospital.

Question 24

Load and Go: Perform on Scene

Answer 24

Scene Assessment, Patient Overview, Spinal Motion restricting decision, LOC/ABC, head to toe examination, transport decision

Question 25

Load and Go: Perform enroute in back of the ambulance

Answer 25

Reassess LOC/ABC, sample history, OPQRST, AEIOUTIPS, 1st Vital signs, treatment plan, secondary assessment, 2nd vital signs, patch to recieving hospital.

Question 26

Stay & Stabilize Scenario: Order

Answer 26

Scene Assessment, patient overview, spinal motion restriction decision, LOC/ABC, head to toe examination, transport decision, Reassess LOC/ABC, Sample History, OPQRST, AEIOUTIPS, 1st vital signs, Treatment plan, Secondary assessment, 2nd vital signs, patch to receiving hospital.

Question 27

Stay and Stabilize: Perform on Scene

Answer 27

Scene Assessment, patient overview, spinal motion restriction decision, LOC/ABC, head to toe examination, transport decision, Reassess LOC/ABC, sample history, OPQRST, AEIOUTIPS, 1st vital signs, treatment Plan

Question 28

Stay & Stabilize: Perform enroute in the back of the ambulance

Answer 28

Secondary Assessment, 2nd vital signs, Patch to receiving Hospital