Term
| List all of the things you say initially |
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Definition
BSI
Is the scene safe?
The NOI is . . .
Number of patients?
Request additional resources.
Consider C-spine precautions |
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Term
| What do you say in primary assessment? |
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Definition
The general impression is that the patient is sick.
AVPU
A: 1. Assess the airway.
B: 1. Assess breathing.
2. Provide oxygen
C: 1. Assess Pulse
2. Assess Skin signs
3. Assess for bleeding.
What is the Chief Complaint?
What is the priority of this patient? High priority patient, emergent transport. |
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Definition
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Definition
| Did the pain start suddenly or gradually? |
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Term
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Definition
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Term
| What is provocation/palliation? |
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Definition
| Does anything make the pain feel worse? / Does anything make the pain feel better |
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Definition
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Definition
| Please describe this pain for me. |
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Term
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Definition
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Term
| What is Radiation or Region? |
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Definition
| Where does the pain hurt? Does it move anywhere? |
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Term
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Definition
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Term
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Definition
| How severe on a scale of 1 to 10? |
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Definition
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Definition
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Definition
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Definition
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Definition
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Definition
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Term
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Definition
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Term
| List the important Vital Signs |
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Definition
Always: Pulse, Respiratory Rate, SpO2, BP
If appropriate: Temperature, Blood Glucose Level |
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Term
| When would you assess Respiratory System? |
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Definition
| If the patient is short of breath, has a slow or fast respiratory rate or has signs of increased work of breathing. |
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Term
| How would you assess Respiratory System? |
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Definition
| Listen to lung sounds, check for tracheal deviation, assess for intracostal retractions, tripod or sniffing positioning. |
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Term
| When would you assess the cardiac system? |
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Definition
| If the patient has chest pain, if the patient is short of breath, if the patient has jaw or arm pain. |
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Term
| How would you assess the cardiac system? |
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Definition
| Assess for JVD, palpate location of pain, listen to lung sounds, assess for pedal edema. |
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Term
| When would you assess GI/GU systems? |
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Definition
| If patient has abdominal pain. If the patient has blood in stools, vomiting, diarrhea, blood in vomit, black tarry stools, coffee ground emesis, vaginal bleeding. |
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Term
| How would you assess GI/GU systems? |
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Definition
| Palpate abdomen. Ask about stool, nausea, vomiting. Examine any stool, emesis present. Assess temperature. |
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Term
| When would you assess neurological systems? |
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Definition
| If the pt. has altered mental status. If the pt. has a headache, if the patient has difficulty with speech, if the patient has any weakness, especially unilateral weakness. If the patient is dizzy. |
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Term
| How would you assess neurological systems? |
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Definition
| Check blood glucose level. Assess orientation. Perform Cincinatti Stroke Scale. Ask about headaches. Check tongue for bleeding from possible seizure. Assess pupils. |
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Term
| How do you perform the Cincinatti stroke scale? |
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Definition
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Term
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Definition
| Facial (Have patient smile) |
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Term
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Definition
| Arms (Close eyes, hold hands palm up, Hold hands up for them, instruct them to keep hands up when you remove yours. Remove your hands, watch for unilateral weakness) |
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Term
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Definition
| Speech (Slurred? Inappropriate words? Difficulty understanding?) |
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Term
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Definition
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Term
| What comes after secondary assessment? |
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Definition
States field impression of patient.
Interventions.
Reassessment every five minutes.
Hand-off report. |
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Term
| Which treatments would you consider for suspected MI? |
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Definition
| ASA (aspirin), Nitro, oxygen if short of breath. |
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Term
| What are the contraindications for aspirin? |
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Definition
| Active GI bleed, allergy, already took 324mg ASA prior to arrival. |
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Term
| What is the dose of aspirin? |
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Definition
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Term
| What are the contraindications for nitro? |
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Definition
| BP under 100 systolic, Use of erectile disfunction medication, maximum number of doses reached. |
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Term
| How is nitro administered? |
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Definition
| 0.4mg administered no sooner than 5 minutes apart with up to three doses, administered sublingually. |
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Term
| What treatments would you consider for anaphylactic reaction? |
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Definition
| Epi Pen, 15LPM oxygen via non-rebreather mask. Bag valve mask if necessary. |
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Term
| What is the dose for EpiPen? |
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Definition
0.3mg, adults.
0.15mg children. |
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Term
| What treatment would you consider for asthma? |
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Definition
| High flow oxygen at 15LPM via non-rebreather mask. Assist with albuterol inhaler. Bag valve mask if necessary. |
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Term
| What treatment would you consider for hypoglycemia? |
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Definition
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Term
| How is oral glucose administered? |
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Definition
| administered buccally placed in the patient's cheek. |
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Term
| What is a contraindication of oral glucose administration? |
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Definition
| Patient is unconscious, or unable to maintain own airway. |
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Term
| What treatment would you consider for opioid overdose? |
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Definition
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Term
| What is the route of naloxone administration? |
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Definition
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Term
| What treatment would you consider for suspected stroke patient? |
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Definition
| Check blood glucose level. Keep patient upright to prevent aspiration, find time last seen normal. Transport emergently. If pt. is not short of breath, oxygen administration is not beneficial. |
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