Lecture #6

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What are the 4 components of the patient assessment?
- Scene size-up
- Primary Assessment
- Secondary Assessment (medical/trauma)
- Reassessment
Scene size-ups consists of...
- BSI/PPE
- Scene Safety
- MOI (suspected trauma)
- NOI (suspected medical)
- Number of Patients/Triage
- Additional Resources
- Spinal Immobilization Needed
In a nutshell, what is Protocol Appendix B, Policy 27?

If a BLS patient becomes an ALS patient and ALS response time is high, contact ALS to ask if they would like to set up a rendezvous point or if they would like direct transport to the nearest hospital
When should you reassess vitals?
- at least every 5 minutes with unstable/sick pt
- at least every 15 minutes with stable/not sick pt
What does APVU stand for?
- Alert
- Verbal
- Pain
- Unresponsive
What is the definition of an MCI?

a medically oriented that overwhelms the initial response
What is the "choke point" in an MCI?

where the triage group supervisor is located and is doing a secondary round of triage
What is in an MCI kit?
- ICS vests with job aides in pockets
- triage tags
- transportation worksheets
- color coded tarps
What is the biggest drawback of the START triage system?

creates a lot of "red" patients
What is START triage?

Simple Triage And Rapid Transport
What are the 3 parameters in START triage?
- respirations: fast? slow? noisy?
- pulse: have radial pulse?
- mentation: follow commands?
What are the color codes and what do they mean for START triage?
- Red: Immediate Transport
- Yellow: Delayed Transport
- Green: Walking Wounded
- Black: Deceased
What is the name of the tag used in START triage?

Mettag
Primary Assessment of a trauma or medical pt consists of...
- form general impression/chief complaint
- establish in-line stabilization if needed
- assess LOC (APVU)
- assess airway, breathing, circulation (ABCs)
- treat life threats/prioritize pt's needs
- Identify if they are ALS
- transport decision
steps in secondary assessment on a trauma pt with non-significant MOI, pt alert and oriented
- assess injury site
- get baseline vitals
- SAMPLE history
- treatment as needed
- transportation decision
steps in secondary assessment on a trauma pt with significant MOI and/or altered mental status
- continue in-line stabilization
- reconsider transportation decision
- reassess mental statis
- rapid secondary assessment (60sec head to toe and anterior & posterior)
- baseline vitals
- SAMPLE history
- treatment as needed
- transportation decision
steps in trauma pt reassessment
- reassess general impression
- reassess metal staus
- reassess/maintain airway
- reassess breathing and pulse (rate and quality)
- reassess skin color, temp, condition and bleeding
- reassess pt priority
- reassess vitals
- reassess emergency care
- continue to monitor pt
if there is a change in pt's condition, you should...
- repeat primary/secondary assessment
- provide appropriate emergency care
- reassess vitals
- continue to monitor pt

Author

jessjohnson0617

209638

Card Set

Lecture #6

Description

Thurston County EMT

Updated

2013-04-16T18:56:49Z

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