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

2. 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

3. 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

4. Initial Assessment cont… (8 points)
Continuing your assessment, you should access what?
Assessment
Indicates appropriate O2 therapy
Assures adequate ventilation
Injury Management
Assess Airway and Breathing
Assesses – controls major bleeding
Assesses pulse
Assess Skin (Color, temp, condition)
Assess Circulation
Identifies patient priorities and makes transport decision

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

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

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

8. 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