Transcript PATIENT ASSESSMENT

PATIENT ASSESSMENT
• Scene Size-up → Primary Survey → History
Taking → Past Medical History → Secondary
Assessment → Vital Signs → Reassessment
Scene Size-Up
Initial evaluation of the scene
• Continues throughout the scene
Part I SCENE SIZE-UP
Defined:
Begins with dispatch
Initial evaluation of the scene
Goals:
Ensure scene safety
To determine if patient is medical or trauma
Determine total number of patients
Patient Assessment
• Scene Size-up
Begins with Dispatch
demographics: residence - Pull to curbside in front
of house
Always remember, scene safety is a component of
Scene Size-up
Nature of illness: Breathing problems
Number of patients: 68 year old female
Considers stabilization of spine
Requests additional help if necessary: ALS
Scene Safety
Personal protection
• Always perform your own size-up
• Observe as you approach and before getting
out of the truck
Primary Survey
Primary Survey
Primary Survey
• General Impression
Determine Is this an Illness
Then determine
NOI
Age, sex, race
Life Threats
Injury
MOI
• Determine Responsiveness/level of
consciousness
A
V
P
U
• Chief complaint or apparent life threats
Airway
• Patent airway
• Insert adjunct when indicated
Primary Survey
Breathing
• Assess breathing
• Adequate Ventilation
• Appropriate oxygen therapy
Primary Survey
Circulation
• Check for pulse
• Assess skin condition
color, temperature, condition
• Assess for and control major bleeding
• Assess and treat for shock if present
Past Medical History
Past Medical History
• S A
M P
L
E
History Taking
History taking; history of present illness
O
P
Q
R
S
T
Secondary Assessment
• Rapid
• Head-to-toe
• Reassessment
Trending
• Verbal report to transporting unit
Unresponsive Medical Patient
• Rapid Secondary Assessment
• Hx.
• VS
Responsive Medical Patient
• Focused Secondary Assessment
• Hx.
• VS
Vital Signs and interventions
• Base-line vital signs
• Field impression
include ALS or BLS transport decision
• Interventions