EMTB County Skill Patient Assessment Trauma 40 points

EMT-B County Skill Patient Assessment (Trauma) 40 points

The Scene (6 points) • You pull up on the scene of a shooting, police have secured the area. Before exiting the rig you do what? • You take BSI precautions. Describe your next steps. • Determine the scene is safe • Determine NOI or MOI • Determine number of patients • Request additional help if needed • Consider stabilization of spine

Initial Assessment (3 points) As you approach the patient you do what? • Form a general impression • Determine responsiveness – Level of consciousness (AVPU) • Determine Chief complaint – apparent life threats

Initial Assessment cont… (8 points) Continuing your assessment, you should access what? • Assessment Assess Airway and Breathing • Indicates appropriate O 2 therapy • Assures adequate ventilation • Injury Management • Assesses – Assess Circulation controls major bleeding • Assesses pulse • Assess Skin (Color, temp, condition) Identifies patient priorities and makes transport decision

Focused History and Physical Exam – Rapid assessment Begin your assessment. • Selects appropriate assessment – focused or rapid assessment. • Obtains or directs assistance to obtain baseline vital signs. • Obtains SAMPLE history. (3 point)

Detailed Physical Exam (18 point) Begin your exam, remember DCAP-BTLS. • Inspects and palpates the scalp and ears Assess the head • Assesses the eyes • Assesses the facial, oral and nasal areas • Inspects and palpates the neck Assess the neck • Assesses for JVD • Assesses for tracheal deviation • Inspects Assess the chest • Palpates • Auscultates

Detailed Physical Exam Cont… Continue your exam. Assess the abdomen and pelvis Assess the extremities Assess the posterior • Assesses the abdomen • Assesses the pelvis • Verbalizes assessment of Genitalia- perineum • 1 point for each extremity, includes inspection, palpation, assessment of motor, sensory and circulatory function. • Assesses the thorax • Assesses the lumbar region Manages secondary injuries and wounds appropriately. Verbalizes reassessment of the vital signs.

Critical Criteria Failure to perform any of the following will result in a fail. • Did not take or verbalize BSI precautions • Did not determine scene is safe • Did not assess for spinal protection. • Did not provide for spinal protection when indicated. • Did not provide high concentration of oxygen