Archive | Patient Assessment

Patient Assessment | Part Four

Transport Three R’s Right person, right place, right amount of time Receiving facility depends on: Patient Condition Available facilities: Special centers Multisystem trauma Burns AMI Spinal Pediatric Neonatal Hyperbaric chamber Behavioral/Psych Medical Direction: contact receiving facility re: Nature of incident Number of patients coming Life threatening problems Care being rendered Results of care ETA Other […]

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Patient Assessment | Part Three

Phases of Scene Assessment (Continued) 5 – Detailed Physical Examination Detailed assessment: organized, subjective and objective exam For priority patients, do this en route to the hospital 6 – Ongoing Assessment Continue through definitive field management and transportation Stable every 15 min Unstable every 5 min Mental Status Monitor the airway Monitor breathing rate and quality […]

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Patient Assessment | Part Two

Phases of Scene Assessment (Continued) 3 – Focused History and Physical Exam Medical Medical: Limited and is specifically related to the acute problem of the day. Use OPQRST Assess: what ever is related to the complaint Take: baseline vitals Unresponsive Medical: do a rapid assessment Position patient to protect the airway Assess: Head Neck Chest Abdomen […]

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Patient Assessment | Part One

Patient Assessment SOAP Format: Subjective, Objective, Assessment, Plan Symptom: subjective indication of a disease or condition as perceived by patient -complaint, history etc. Sign: objective finding, vital signs, what you see Phases of Scene Assessment 1 – Scene size up: scene safety is #1 BSI Dispatch is based on: Patient condition/medical history Scene condition Number […]

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Techniques of Physical Examination | Part Three

Cardiovascular System Evaluate Four areas: Arterial Pulse – check for rate (bradycardia – tachycardia), regularity/rhythm (skipped or extra beats), and character/amplitude (strong, weak…): radial (most often for conscious patients) carotid (patients with shock or poor circulation) femoral (also patients with shock or poor circulation) – brachial – infants Blood pressure: normotension = normal limits normal […]

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Techniques of Physical Examination | Part Two

Techniques of Physical Examination | Part Two Making a General Survey: universal overview of the patient’s general condition. Document appropriately: LOC Signs of Distress Apparent state of health Skin color temp and condition Weight Posture Gait activity Dress grooming personal hygiene Breath odors Facial expression Vital Signs Additional assessments: pulse oximetry, blood glucose, cardiac monitoring […]

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