Term
|
Definition
| to establish a consistent approach to patient |
|
|
Term
|
Definition
1) review dispatch information with crew members and dispatch center as needed
2) consider other potential issues (location,time of day, weather) |
|
|
Term
| B. Scene arrival and size up |
|
Definition
1) BSI / PPE
2) Scene Safety
3) Determine moi / nature of illness
4) number of patients
5) additional resources
6) consider c - spine |
|
|
Term
| C. Initial assessment / 1. Airway |
|
Definition
A) open airway as needed, maintain c-spine if trauma suspected
B) insert appropriate airway adjunct
c) suction if indicated
D) if partial or complete FBAO is present, utilize appropriate interventions |
|
|
Term
| initial assessment / 2. Breathing |
|
Definition
A) Assess depth rate and quality
B) Assess lung sounds
C) if respiratory effort inadequate, assist ventilation with bvm
D) initiate airway management and o2 therapy as indicated |
|
|
Term
| initial assessment / 3. Circulation |
|
Definition
A) Assess skin color, temperature and condition
B) Check distal central pulses. including cap refill time
C) Control major bleeding
D) initiate shock management as indicated |
|
|
Term
| initial assessment / 4. Disability |
|
Definition
A) determine level of consciousness
B) Assess pupils
C) Assess CSM |
|
|
Term
| initial assessment / 5. Exposure |
|
Definition
A) if indicated remove clothing for proper assessment/treatment of injury location. Maintain patient dignity
B) maintain patient body temperature at all times |
|
|
Term
| D. Determine chief complaint - |
|
Definition
| initiate treatment per vcems policies/protocols |
|
|
Term
| II. History of present illness - |
|
Definition
| including pertinent negatives and additional signs/ symptoms |
|
|
Term
| history of present illness |
|
Definition
1. onset of current illness or chief complaint
2. provoking factors
3. quality
4. radiation
5. severity 1-10 pain scale
6. time
opqrst |
|
|
Term
|
Definition
1. blood pressure and or capillary refill
2. heart rate
3. respirations
4. ALS assessments shall include: |
|
|
Term
| 4. Als assessments shall include: |
|
Definition
A. cardiac rhythm
B. 12 lead ecg per vcems policy 726
C. pulse oximetry
D. capnography (after advanced airway placement) |
|
|
Term
| IV - Obtain history, including pertinent negatives |
|
Definition
1. signs/symptoms leading up to the event
2. allergies
3. medications taken
4. past medical history
5. last oral intake
6. events leading up to illness
sample |
|
|
Term
|
Definition
| Preform detailed physical exam per trauma assessment/treatment guidelines |
|
|
Term
|
Definition
| Base hospital contact shall be made for all als patients in accordance with vcems 704 |
|
|
Term
|
Definition
| Transport to appropriate facility per vcems guidelines |
|
|
Term
| Transport to appropriate facility per vcems guidelines |
|
Definition
1. transport and destination guidelines - 604
2. stemi receiving center guidelines - policy 430
3. post vf/vt with rosc - policy 705 cardiac arrest vf/vt
4. Trauma triage and destination criteria - policy 1405
5. Hospital diversion - policy 402 |
|
|
Term
|
Definition
| continuously monitor vital signs and document findings. Continue appropriate treatments and reassess throughout transport to assess for changes in patient status |
|
|
Term
|
Definition
1. completion of patient care documentation per vcems policy 1000
2. document all assessments findings, pertinent negatives, vital signs, interventions/treatments (both initial and ongoing) responses to treatments and all changes in patient status
3. submit ecg strips for all als providers
4. maintain patient confidentiality at all times |
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