Presentation is loading. Please wait.

Presentation is loading. Please wait.

Assessment of the Medical Patient

Published byDerek Simpson Modified over 6 years ago

Similar presentations

Presentation on theme: "Assessment of the Medical Patient"— Presentation transcript:

1 Assessment of the Medical Patient
CHAPTER 11 Assessment of the Medical Patient

2 Responsive Medical Patient Unresponsive Medical Patient
Medical Assessment Must determine if Responsive Medical Patient Unresponsive Medical Patient OR

3 Focused History and Physical Exam
Responsive Medical Patient

4 Steps in Focused History and Physical Exam
Responsive Medical Patient History of present illness SAMPLE history Focused physical exam Baseline vital signs

5 History of Present Illness
= Onset P Provocation Q Quality R Radiation S Severity T Time

6 SAMPLE History S = Signs and symptoms A Allergies M Medications P
Pertinent past history L Last oral intake E Events leading to injury or illness

7 SAMPLE & OPQRST Patient should be initial source of information.
Family and friends may also be a useful source. Continued…

8 SAMPLE & OPQRST Certain medical conditions and chief complaints may allow for further treatment and/or assessment. In these cases, you will need to get certain additional information.

9 Get additional information for:
Chest pain With prescribed nitroglycerin Difficulty breathing With prescribed inhaler Allergies With prescribed epinephrine auto-injector

10 Focused Physical Exam Utilize DCAP-BTLS! As appropriate, assess: Neck
Head Neck Chest Abdomen Pelvis Extremities Posterior Utilize DCAP-BTLS!

11 Baseline Vital Signs Respirations Pulse
Skin color, temperature, condition Continued…

12 Baseline Vital Signs Pupils Blood pressure
Oxygen saturation, according to local protocol

13 Further Steps Provide any interventions required for specific conditions. Transport the patient.

14 Focused History and Physical Exam
Unresponsive Medical Patient

15 Steps in Focused History and Physical Exam
Unresponsive Medical Patient Rapid physical exam Baseline vital signs Consider requesting ALS History of present illness SAMPLE history

16 Rapid Assessment Utilize DCAP-BTLS! Start with rapid assessment: Head
Neck Chest Abdomen Pelvis Extremities Posterior Utilize DCAP-BTLS!

17 Baseline Vital Signs Respirations Pulse
Skin color, temperature, condition Pupils Blood pressure Oxygen saturation, according to local protocol

18 History of Present Illness
= Onset P Provocation Q Quality R Radiation S Severity T Time

19 SAMPLE History Get SAMPLE history from bystanders, family, or friends.

20 Further Steps Provide any interventions required for specific conditions. Transport the patient.

21 Review Questions 1. What is the order of the focused history and physical exam of a responsive medical patient? 2. What do the letters in OPQRST stand for?

22 Review Questions 3. What questions do you ask to get a SAMPLE history?
4. What is the order of the four steps in the focused history and physical exam of an unresponsive medical patient?

23 STREET SCENES What is the priority of this patient?
What are the next steps in the management of this patient? What part of the focused history and physical exam should follow next?

24 STREET SCENES What signs or symptoms would you look for to determine if the patient were getting better or worse?

Download ppt "Assessment of the Medical Patient"

Similar presentations

Trauma Patient Assessment

Trauma Patient Assessment
Patient Assessment VS Communication Documentation The older folks The younger folks Block III written and practical.

Patient Assessment VS Communication Documentation The older folks The younger folks Block III written and practical.
PATIENT ASSESSMENT.

PATIENT ASSESSMENT.
DOCUMENTATION Takes, or verbalizes, body substance isolation precautions Determines the scene is safe Dispatched to the above location for shortness of.

DOCUMENTATION Takes, or verbalizes, body substance isolation precautions Determines the scene is safe Dispatched to the above location for shortness of.
EMT 052 – Winter 2004 Assessment Review Scene Size-Up  Determine the # of Patients  Call for additional help if necessary  Can my unit handle this.

EMT 052 – Winter 2004 Assessment Review Scene Size-Up  Determine the # of Patients  Call for additional help if necessary  Can my unit handle this.
Skills Training Session January 20, 2015. Agenda My contact info – – (561)306-7247 Probationary Semester Schedule.

Skills Training Session January 20, Agenda My contact info – – (561) Probationary Semester Schedule.
EMT 100 Patient Assessment. Vital Signs *SIGNS OF LIFE*

EMT 100 Patient Assessment. Vital Signs *SIGNS OF LIFE*
Principles of Patient Assessment in EMS. Overview to Patient Assessment.

Principles of Patient Assessment in EMS. Overview to Patient Assessment.
Detailed Physical Exam. Who Needs a Detailed Physical Exam? Determined by patient’s condition: After critical interventions for a patient with significant.

Detailed Physical Exam. Who Needs a Detailed Physical Exam? Determined by patient’s condition: After critical interventions for a patient with significant.
Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ CHAPTER 12 Ongoing Assessment.

Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ CHAPTER 12 Ongoing Assessment.
ASSESSMENT AND MANAGEMENT OF THE TRAUMA PATIENT Instructor Name: Title: Unit:

ASSESSMENT AND MANAGEMENT OF THE TRAUMA PATIENT Instructor Name: Title: Unit:
National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 7 Patient Assessment.

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 7 Patient Assessment.
Limmer et al., Emergency Care Update, 10th Edition © 2007 by Pearson Education, Inc. Upper Saddle River, NJ CHAPTER 10 Assessment of the Trauma Patient.

Limmer et al., Emergency Care Update, 10th Edition © 2007 by Pearson Education, Inc. Upper Saddle River, NJ CHAPTER 10 Assessment of the Trauma Patient.
Frontline First Aid Advanced Assessment Model Reference 1. Scene Survey Hazards To you To others Wear PPE Patients Environment Surroundings Mechanism Causes.

Frontline First Aid Advanced Assessment Model Reference 1. Scene Survey Hazards To you To others Wear PPE Patients Environment Surroundings Mechanism Causes.
Slide 1 Copyright © 2007, 2004, by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Baseline Vital Signs and SAMPLE History Chapter 5.

Slide 1 Copyright © 2007, 2004, by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Baseline Vital Signs and SAMPLE History Chapter 5.
Slide 1 Copyright © 2007, 2004, by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Focused History and Physical Examination of the Medical.

Slide 1 Copyright © 2007, 2004, by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Focused History and Physical Examination of the Medical.
Focused History and Physical Examination for Medical Patients CHAPTER 11.

Focused History and Physical Examination for Medical Patients CHAPTER 11.
Focused History and Physical Examination of the

Focused History and Physical Examination of the
Principles of Patient Assessment in EMS By: Bob Elling, MPA, EMT-P & Kirsten Elling, BS, EMT-P.

Principles of Patient Assessment in EMS By: Bob Elling, MPA, EMT-P & Kirsten Elling, BS, EMT-P.
Chapter 16 Focused History and Physical Examination of the Medical Patient.

Chapter 16 Focused History and Physical Examination of the Medical Patient.

Similar presentations

Ads by Google