-
General Impression
- S ex
- W eight
- A ge
- A ctivity
- P osition
Example: 84 yr old female patient approx 100lbs lying supine in the bed alert to EMS arrival.
-
LOC
level of consciousness- Are they CAOx3 or 4
- A lert GCS score -eyes- 4 spontaneous 3-to speach 2- to pain 1- unresponsive
- V erbal -verbal- 5-oriented 4-confused 3-inappropriate 2- incomprehensible 1- none
- P ainful -motor- 6-Obeys commands 5-localizes 4-withdrawl 3-flexion 2- extends 1-none
- U nresponsive
-
ABC's
- Airway- open- give supplemental, assist and control
- -closed (occluded)- open and give o2
- Breathing- Rate- fast or slow
- -Quality-shallow, deep
- -irregular or regular
- Circulation- pulses-fast or slow and regular or irregular
- -skin temp- cold or hot
- cap refill- < 3 sec or delayed
-
Scene Approach
- Scene safe
- BSI/PPE
- # Patients
- MOI/NOI
- Additional resources
-
Transport Decision
- Load and GO -Trauma Alerts, Triage Red, Brain attacks
- Stay and Play- Cardiac Arrest, Triage yellow and green
-
DCAPPBLSTIC
Deformities, Contusions, Abrasions, Punctures/Penetrations, Paradoxical motion, Burns, Lacerations, Swelling, Tenderness, Instability, Crepitus
-
Head to Toe (Trauma)
- Head
- Neck-step-off, subcutanous emphysema, JVD, or tracheal deviation
- CERVICAL COLLAR
- Clavicles/Shoulders
- Chest-expose and look for paradoxical, sym rise and fall or flail chest (3 or more ribs), looking and listening for sucking chest wounds, Auscultate lungs for absence
- Abdomen- Looking for bruising, bleeding, distention (air in belly), palpating for rigidity (blood build up), distention or tenderness.
- Pelvis- crep or instability, bleeding, incontinence, priapism
- Legs one at a time
- Legs bilaterally: checking for PMS (pulse, motor, and sensory), pedal edema, pedal pulses, push and pull of feet and equality of same, babinski's reflex
- Arms one at at time
- Arms bilaterally: PMS, presence and equality of radial pulses, strength of and equality of grips
- Back- roll and palpate spine, bleeding, weapons
Transfer to spine board then stretcher
-
Chief Complaint (CC) Ie; Chest pain
- O nset Associated
- P rovacation Symptoms
- Q uality Pertinent Negatives
- R adiation
- S everity
- T ime
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