1. STS: Rapid Assessment
September 26, 2016

2. 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 seconds).
Requires rapid transport.

3. Rapid Assessment Target Areas Head Pelvis Upper Extremities Neck
Chest
Abdomen
Pelvis
Upper Extremities
Lower Extremities
Back

4. Use DCAP-BLTS
Deformities C A P B T L S

5. Use DCAP-BLTS D
Contusions A P B T L S

6. Use DCAP-BLTS D C
Abrasions P B T L S

7. Use DCAP-BLTS D C A
Penetrations/ Punctures B T L S

8. Use DCAP-BLTS D C A P
Burns T L S

9. Use DCAP-BLTS D C A P B
Tenderness L S

10. Use DCAP-BLTS D C A P B T
Lacerations S

11. Use DCAP-BLTS D C A P B T L
Swelling/ Scars

12. Use DCAP-BLTS Deformities Contusions Abrasions Penetrations/ Punctures
Burns
Tenderness
Lacerations
Swelling/ Scars

13. 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

14. Additional Assessment Elements
Neck
Medical alert tags
Jugular vein distention (JVD)
Tracheal deviation
Carotid pulses
Subcutaneous emphysema (crepitus)
Stoma
Tracheostomy

15. Additional Assessment Elements
Chest
Paradoxical movement
Accessory muscle use
Sucking chest wound
Subcutaneous emphysema (crepitus)
Central catheters
Chest tubes

16. Additional Assessment Elements
Abdomen
Distension
Rigidity/guarding
Pulsating mass
Signs of pregnancy
Gastrostomy tube
Colostomy
Medical pumps

17. Additional Assessment Elements
Pelvis
Incontinence
Priapism
Vaginal bleeding
Urinary catheter

18. 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

19. 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
Dispatch: 20 y/o female at USC baseball field, complaining of chest pain and SOB
C/C: Left-side chest pain and SOB
A&O 3
Neg for HNB pain
Didn’t fall or hit head
A: penicillin
M: none
P: none
L: dinner 2 hours ago
E: struck in the left chest with baseball
B: 95/60 mmHg
E: PEARRL
L: diminished lung sounds on left side
L: A&O 3
S: warm, pink, diaphoretic
R: 24 breaths/min, shallow
P: 122 beats/min, strong
P: 95
Tx: rapid trauma (chest bruising and tenderness over left ribs), O2 15 L/min via NRB, ALS

20. Practice Scenario
Dispatch: 20 y/o pt. at USC Baseball Field complaining of chest pain and SOB
Dispatch: 20 y/o female at USC baseball field, complaining of chest pain and SOB
C/C: Left-side chest pain and SOB
A&O 3
Neg for HNB pain
Didn’t fall or hit head
A: penicillin
M: none
P: none
L: dinner 2 hours ago
E: struck in the left chest with baseball
B: 95/60 mmHg
E: PEARRL
L: diminished lung sounds on left side
L: A&O 3
S: warm, pink, diaphoretic
R: 24 breaths/min, shallow
P: 122 beats/min, strong
P: 95
Tx: rapid trauma (chest bruising and tenderness over left ribs), O2 15 L/min via NRB, ALS