STS Rapid Assessment September 26 2016 Rapid Assessment
STS: Rapid Assessment September 26, 2016
Rapid Assessment • Goal: To identify any life threatening injuries that caused the disturbance or loss of function found during the primary assessment. –ABC’s, ALOC, etc. • Use inspection, palpation, auscultation, and smell of certain odors to help uncover findings. • Head-to-toe rapidly (between 60 -90 seconds). • Requires rapid transport.
Rapid Assessment Target Areas • • Head Neck Chest Abdomen • • Pelvis Upper Extremities Lower Extremities Back
Use DCAP-BLTS • • Deformities C A P • • B T L S
Use DCAP-BLTS • • D Contusions A P • • B T L S
Use DCAP-BLTS • • D C Abrasions P • • B T L S
Use DCAP-BLTS • • D C A Penetrations/ Punctures • • B T L S
Use DCAP-BLTS • • D C A P • • Burns T L S
Use DCAP-BLTS • • D C A P • • B Tenderness L S
Use DCAP-BLTS • • D C A P • • B T Lacerations S
Use DCAP-BLTS • • D C A P • • B T L Swelling/ Scars
Use DCAP-BLTS • • Deformities Contusions Abrasions Penetrations/ Punctures • • Burns Tenderness Lacerations Swelling/ Scars
Additional Assessment Elements • Head – Asymmetry of head and face – Drainage (CSF) – Raccoon eyes – Battle’s sign – Soot/singed nasal or facial hairs – Coffee ground emesis – Nasogastric tube
Additional Assessment Elements • Neck – Medical alert tags – Jugular vein distention (JVD) – Tracheal deviation – Carotid pulses – Subcutaneous emphysema (crepitus) – Stoma – Tracheostomy
Additional Assessment Elements • Chest – Paradoxical movement – Accessory muscle use – Sucking chest wound – Subcutaneous emphysema (crepitus) – Central catheters – Chest tubes
Additional Assessment Elements • Abdomen – Distension – Rigidity/guarding – Pulsating mass – Signs of pregnancy – Gastrostomy tube – Colostomy – Medical pumps
Additional Assessment Elements • Pelvis – Incontinence – Priapism – Vaginal bleeding – Urinary catheter
Additional Assessment Elements • Upper Extremities – Check CMS (brachial/radial pulse) – Arteriovenous (AV) shunt or fistula • Lower Extremities – Check CMS (pedal pulse) • Back – Step-off – Sacral edema
Plan for Tonight • Practice rapid trauma assessments on a partner • Run scenario with your partner • Write/turn in your run report narrative • Reminder: First quiz will be next Monday (10/3) • Details will be posted in EMSC facebook group
Practice Scenario • Dispatch: 20 y/o pt. at USC Baseball Field complaining of chest pain and SOB
- Slides: 21