26 terms

Outdoor Emergency Care

STUDY
PLAY
Scene Size-up
1) "I'm #1" self preservation/safety
2) "You are #2" patient; Mechanism of Injury (MOI) and Nature of Illness (NOI)
3) "Non on Me" Personal Protective Equipment (PPE) and Body Substance Isolation (BSI)
4) "Are There More"
5) "Dead of Alive"
6) "Am I in a Fix?" assessment of resources needed
AVPU
Alert; Verbal; Pain; Unresponsive scale
SAILER
Sex; Age; Injury; Location; Equipment; Resources
L.O.R.
1) Level of Responsiveness
2) Heart Rate
3) Respiration
4) Skin
5) Eyes
A + O x4
Name? Time? Where are ya? What happened?
O.P.Q.R.S.T.
Onset; Provication; Quality of Pain; Radiation; Severity of Pain (scale 1-10); Time
SAMPLE
1) Sign/Symptom
2) Allergies
3) Medications Taken?/did they take them?
4) Past pertinent medical history
5) Last Ins and Outs? is it normal?
6) Events leading up to incident
GLASCO Coma Scale (GCS)
EYES:
4-opens eyes spontaneously
3-opens eyes at verbal command
2-opens eyes to pain
1-does not open eyes
VERBAL:
5-speaks coherently
4-mutters in response to pain
3-moans in response to pain
1-no verbal response
MOTOR:
6-follows commands
5-localizes pain
4-withdraws from pain
3-has a flexor response to pain
2-has an extensor response to pain
1-no motor response

14 < greater considered normal
13 > risk
8 > long term disability/dead
PERRLA
Pupils, Equal, Round, Reactive to Light, Accommodation (eyes can focus near and far)
DCAP-BTLS
Deformity
Contusions
Abrasions/Avulsions
Punctures/Penetrations
Burns/Bleeding/Bruising
Tenderness
Laceration
Swelling
Systolic Pressure
pressure in arteries while heart is contracting
Diastolic
pressure in arteries while heart is at rest
SOAP
Subjective information from patient
Objective information
Assessment and general impression
Plan; all aspects of treatment rendered to patient
CHEATED
Chief Complaint
History (SAMPLE history/past medical history)
Examination: physical exam
Treatment
Evaluation: changes in condition over time
Disposition: indicating refusal of treatment or transfer to higher care
AEIOU-TIPS
Alcohol
Epilepsy/Environment/Electrolytes
Insulin
Oxygen
Uremia: kidneys unable to remove waste
Trauma/Tumors
Infection
Poisoning/Psychiatric conditions
Seizures/Stroke/Syncope (fainting)
Respiratory Rates
Adult: 12-20 breaths /min
Child: 15-30 breaths /min
Infant: 25-30 breaths / min
Epinephrine Dosages
Adult (65+ lbs): 0.30 mg
Child (30-65 lbs): 0.15 mg
Tach-
Faster/heightened
Brady-
Slower/lack of
Nasal Cannula breathe rate
2-6 LPM
Rebreather Mask
10-15 LPM
5 Mechanisms of Injury
Blunt Injury
Penetrating Injury
Rational Injury: beyond range of motion
Crush Injury
Blast Injury
CMS
Circulation; Motor Function; Sensation
Thrombus
Blood clot
Embolus
Clot or other foreign object that breaks loose and lodges in other sight
acute myocardial infarction
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