13 terms

EMT Trauma Patient Assessment

Scene Size-Up
1. Determines the scene is safe
2. Determines mechanism of injury/nature of illness
3. Determines the number of patients
4. Requests additional help if necessary
5. Considers stabilization of spine
Initial Assessment
1. Verbalizes general impression of patient (age, sex, race, distress, appearance, stable v. unstable)
2. Determines LOC (AVPU, altered LOC could be because of inadequate perfusion AKA hypoxic or drugs; Person Place Time Event)
3. Determines chief complaint/apparent life threats
4. Assesses airway and breathing (A & B)
5. Assesses circulation (C)
6. Identifies priority patients/makes transport decisions
Assessing airway and breathing
Assessment, indicates appropriate oxygen therapy (depth, quality, rhythm, rate), assures adequate ventilation (when >24 breaths pm and <8 breaths pm)
Assesses circulation
Assesses/controls major bleeding, assesses pulse (rate, quality, rhythm), assesses skin color (color, temperature and condition)
Focused history and physical examination/rapid assessment
1. Selects appropriate assessment (focused or rapid)
2. Obtains vitals (BELLSRP)
3. Obtains SAMPLE history
Detailed physical examination
1. Assess head
2. Neck
3. Chest
4. Abdomen/pelvis
5. Extremities
6. Posterior
7. Secondary injuries --> manage them appropriately
8. Reassess vitals
Assessing the head
Inspects and palpates the scalp and ears.
Assesses eyes.
Assesses the facial areas including oral and nasal areas.
Assessing the neck
Inspects and palpates the neck
Assesses for jugular vein distention (JVD)
Assesses for tracheal deviation
Assessing the chest
Auscultates (listen w/stethoscope or ear)
Assessing abdomen/pelvis
Assess abdomen
Assess pelvis
Verbalizes assessment of genitalia/perineum as needed
Assesses extremities
Assessment of motor, sensory and circulation function
Assessing posterior
Assesses thorax
Assesses lumbar