1. PATIENT ASSESSMENT

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

3. Scene Size-Up

4. Initial evaluation of the scene
Continues throughout the scene

5. 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

6. 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

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

8. Primary Survey
Primary Survey

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

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

11. Primary Survey Breathing Assess breathing Adequate Ventilation
Appropriate oxygen therapy

12. 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

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

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

15. Secondary Assessment
Rapid
Head-to-toe

16. Reassessment
Trending
Verbal report to transporting unit

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

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