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What are the steps in Scene Size Up?
Safety
BSI
MOI/NOI
Number of Patients
More Resources
As you near the scene you should
Look/Listen for others responding
Collision Related Power Loss
Flow of Traffic
Smoke
Danger Zone for Apparent Hazards
100ft
Danger Zone for NO Apparent Hazards
50ft
What is the danger zone for fuel leaking or car on fire
100ft in all directions
When wires down how do you determine safe area
from point of attachment
What are the points in the 3 collision concept
Vehicle
Body
Internal
What are the 4 types of force
Direct
Indirect
Twisting
Flexion or Hyperextention
What are the types of MVC
Head On
Rear End
Side Impact
Rollovers
Rotational
What is the purpose of the Initial Assessment
To discover any potential life threats
What are the 6 Steps of the Initial Assessment?
General Impression
Mental Status
Airway
Breathing
Circulation
Determine Priority
If LOC is lower then alert you should always?
Provide O2 with a NRB
In Unresponsive Medical Patients how should you open the airway?
Head Tilt, Chin Lift
With an unresponsive Trauma Patient how should you open the airway?
Jaw Thrust
If the patient is not alert and respirations are less the 8 you should
use a BVM with atleast 10LPM
If the patient is alert and thier respirations are more then 24 you should?
Place on a NRB
What are you looking for when you are at the circulation part of the initial assessment?
Look for gross bleeding
Pulse
Skin color and Temp
What are the arteries that you check for a pulse?
Carotid
Bracial
Radial
Femoral
Posterior Tibial
Dorsalis Pedis
In a responsive patient you should check the ...pulse
radial
In a UN responsive patient you should check the ....pulse
Carotid
Vital Signs are?
1. Vital signs and SAMPLE history are major components of your assessment
2. Usually obtained during the "Focused History and Physical Exam"
3. They are outward signs of what is going on inside the body
4. 1st set known as the "Baseline Vitals Signs"
BRASTRAPP Stands for?
B = Blood Pressure
R = Respiration
A = Alertness (Level of Consciousness)
S = Skin Color
T = Temperature (Skin)
R = Reaction to Pain
A = Ability to move (Extremities)
P = Pulse
P = Pupils
Adult Male Blood Pressure
<= 120 Systolic
<= 80 Diastolic
Blood Pressure of Children and Infants
Approx 80 + age times 2 Systolic
Avg 2/3 Diastolic
Hypotension is?
Low BP can indicate Shock
Hypertension is?
High BP, can indicate a Neurologic event
How do you check respiration rate?
Watch breathing for 30 seconds, count each breath and mltiple times 2
How are Respiration rates classified
Normal Shallow Labored Noisy
Normal Respiration rate for an adult is?
12-20
What method do you use to assess Alertness
AVPU
What does AVPU stand for?
Alert
Verbal
Painful
Unresponsive
When you are assessing skin color, what are you looking to see if the body is doing
Perfusion
What is the term for a slow pulse
Bradycardia
What is the term for a fast pulse
Tachycardia
What is the normal pulse rate for an adult
60-100 BPM
What are the 2 things needed to be present to have breathing sounds
Air Movement and Functioning Airways
What does SAMPLE stand for
Signs and Symptoms
Allergies
Medications
Pertinent Medical HIstory
Last Oral Intake
Events leading up to illness
Under Signs and Symptoms what does PQRST stand for
Provoked it
Quality
Radiates
Severity
When did it start
Ideally when should you take vitals
During assessment
During Transport
Arrival to Hospital
Changes in condition
Medical Intervention
Stable patients every 15
Unstable Patients every 5
C-Collars are measure how?
By length not width
Define Assessment
Is an assessment of a scene to assure safety and provide useful info about the patient
What is the order for doing a rapid trauma assessment?
Head
Neck
Chest
Abdomen
Pelvis
Extremeties
Posterior
What are the components of the On-Going assessment?
Repeat Initial Assessment
Repeat Vitals
Repeat Focused
Check interventions
What are the types of Radio Communications
Base
Mobile
Portable
Repeaters
Cell
Mobile Radio Specs?
Lower transmission levels 20-50 watts and 10-15 mile range
Portable Radio Range
1-5 Miles
What does CHART stand for?
CC
HPI
Assessment
Rx (Treatment)
Transport
What are the steps of assessment with a SIGNIFICANT MOI TRAUMA PATIENT
C Spine Stabilization
Rapid Trauma Assessment
BVS/SAMPLE
Transport
Detailed Physical Exam
Ongoing Assessment
What are the steps of assessment for a NO SIGNIFICANT MOI TRAUMA PATIENT
Determine Chief Complaint
Perform Focused Physical Exam
BVS/SAMPLE
Transport
Ongoing Assessment
What are the steps in a RESPONSIVE Medical Patient
HPI/SAMPLE
Focused Physical
BVS
Transport
OnGoing
What are the steps for a UNRESPONSIVE Medical Patient
Perform Rapid Physical Exam
BVS
Consider ALS Request
HPI/SAMPLE
Treatment
Transport
Ongoing
When should you do an on going assessment?
After finishing lifesaving interventions
A detailed Physical Exam
Author
castelojl
ID
144111
Card Set
Mod 3
Description
Mod 3
Updated
2012-03-27T14:33:32Z
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