PATIENT ASSESSMENT

Scene Size-up → Primary Survey → History Taking → Past Medical History → Secondary Assessment → Vital Signs → Reassessment

Scene Size-Up

Initial evaluation of the scene Continues throughout the scene

Initial evaluation of the scene Goals: Ensure scene safety Part I SCENE SIZE-UP Defined: Begins with dispatch Initial evaluation of the scene Goals: Ensure scene safety To determine if patient is medical or trauma Determine total number of patients

Patient Assessment Scene Size-up Begins with Dispatch demographics: residence - Pull to curbside in front of house Always remember, scene safety is a component of Scene Size-up Nature of illness: Breathing problems Number of patients: 68 year old female Considers stabilization of spine Requests additional help if necessary: ALS

Scene Safety Personal protection Always perform your own size-up Observe as you approach and before getting out of the truck

Primary Survey Primary Survey

Primary Survey General Impression Determine Is this an Illness Injury Then determine NOI MOI Age, sex, race Life Threats

Determine Responsiveness/level of consciousness A V P U Chief complaint or apparent life threats Airway Patent airway Insert adjunct when indicated

Primary Survey Breathing Assess breathing Adequate Ventilation Appropriate oxygen therapy

Primary Survey Circulation Check for pulse Assess skin condition color, temperature, condition Assess for and control major bleeding Assess and treat for shock if present

Past Medical History Past Medical History S A M P L E

History Taking History taking; history of present illness O P Q R S T

Secondary Assessment Rapid Head-to-toe

Reassessment Trending Verbal report to transporting unit

Unresponsive Medical Patient Rapid Secondary Assessment Hx. VS Responsive Medical Patient Focused Secondary Assessment

Vital Signs and interventions Base-line vital signs Field impression include ALS or BLS transport decision Interventions