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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

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