lying on siderecovery positionupper right upper left
lower right lower leftfour quadrantsliver, pancreas, kidney, lungupper rightappendix, bladder, colon, gonads, ureterlower rightheart, spleen, kidney, lung, stomachupper leftureter, bladder, colon, gonadslower leftstructureskeleton system functionmovementmuscle system functiontransportcirculatory system functionbreathingrespiratory system functionbreak down nutrientsdigestive system functionwaste removalurinary system functionregulation, balanceendocrine system functionsignalsnervous system functionprotectionintegumentary system function1. scene safetyfirst step of patient assessment2. primary survey
life threats:
A.B.C.B.
vitals
L.O.C.
A.V.P.U.second step of patient assessmentairway
breathing
circulation
bleedingABCBlevel of consciousnessLOCalert
verbal
pain
unconsciousAVPUsigns and symptoms
allergies
medication
past medical history
last oral intake (meal)
events leading upSAMPLE historyonset
provokes
quality
radiates
strength (1-10)
time
interventions"s" in sample history → OPQRSTItreat life threats firstbefore continuing patient assessment if there are any life threats ...mechanism of injuryMOImedical
traumatwo types of MOIs1. pulse
2. respiration
3. LOC → AVPU
4. CRT (capillary refill)
5. pupils
6. JVD (jugular vein distinction)vitalsdeformity
open wounds
tenderness
swellingDOTSdeformity
contusion = bruise
abrasion = scrape
penetrating
burns
tenderness
laceration = cut
swellingDCAPBTLShands on, head to toesecondary surveyhead (ears, eyes, nose mouth for fluid) → neck (trachea = midline, vertebrae) → chest (rise, fall, deformities) → abdomen (palpate four quadrants) → pelvis (gently rock) → legs → toe (capillary refill) → arms (capillary refill) → back (roll towards you)order of secondary surveychanging normality, requires quicker surveyunstablemultiple injuries to major body systems, requires rapid surveymultisystem traumaevery 5 minuteshow often you should reassess a patient"sorting" of patients based on severity (green, yellow, red, black)triagearrest (apnea) = cannot breathe at all
distress = obstruction to airwaytwo types of respiratory problems1. determine responsiveness
2. 911
3. position victim, open airway
4. determine breathlessnessvictim assessment orderlabored, noisy, irregularabnormal breathingchronic obstructive pulmonary disease
disease to alveoli
incurable, worsens over time
4th leading cause of death in U.S.COPDbarrel-shaped chestsymptom of COPDsevere allergic reaction
true emergency
requires epipen or epinephrineanaphylaxis
