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13 Cards in this Set
- Front
- Back
Rapid secondary Assessment
Trauma or Unresponsive person |
DCAPBTLS for all:
1. Head 2. Ears 3. Face 4. Eyes/Pupils 5. Nose 7. Mouth 6. Neck/JVD,Tracheal deviation, Subcutaneous Emphysema 7. Chest/Paradoxical Motion, Flail Segment 8. Lung Sounds 9. Abdomen 10. Pelvis 11. Lower Extremities/ PMS 12. Upper Extremities/ PMS 13. Posterior Body- Backboard |
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O-P-Q-R-S-T
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O- Onset/ When & How did the symptom begin?
P- Provocation,Palliation/ What makes it better or worse? Q- Quality/ How would you describe the pain? R- Radiation/ Where do you feel the pain where does the pain go? S- Severity/ How bad is the Pain? T- Time/ How long have you had the pain? |
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Reassessment performed on all Patients
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AIR
1. Assess 2. Intervene 3. Reassess |
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Three basic reason for reassessment
T-A-N |
1. Trending
2. Additional Injuries or conditions 3. Need to adjust care |
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Reassessment Procedure
P-V-I-T |
PVIT
1. Primary assessment 2. Vitals reassessment 3. Interventions, check/adjust 4. Trends in patient condition recorded |
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Modified secondary assessment
Responsive Trauma or Medical |
1. Focus on injured area/illness
2. Palpate injured area 3. Vitals 4. S.A.M.P.L.E. history |
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S.A.M.P.L.E.
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S- Signs & Symptoms
A- Allergies M- Medications P- Past Pertinent History L- Last oral Intake E- Events leading up to illness or injury |
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Scene Size-Up
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1. Scene Safety
2. Standard Precautions 3. MOI/NOI (trauma or medical) 4. Number of Patients 5. Additional resources |
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Primary Assessment
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1. General impression
2. LOC (AVPU) (PPT) 3. Airway 4. Breathing 5. Circulation 6. Priorities |
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Forming a General Impression
A-G-O-M-C-I |
AGOMCI
1. Age 2. Gender 3. Overall impression 4. MOI/NOI (trauma or Medical 5. Chief complaint 6. Identify & manage any Life Threats |
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D-C-A-P-B-T-L-S
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D- Deformities
C- Contusions (Bruises) A- Abrasions P- Penetrations/Punctures/Paradoxial Motion (chest only) B- Burns T- Tenderness/tracheal deviation in neck L- Lacerations S- Swelling |
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Secondary Assessment
No Significant MOI No multiple injuries No Altered Mental Status |
1. Reconsider MOI
2. Modified secondary assessment 3. Vitals 4. S.A.M.P.L.E. 5. Transport 6. Assess/intervene/Reassess |
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Secondary Assessment
Significant MOI Multiple Injuries Altered Mental Status |
1. Continue In-Line stabilization
2. Reconsider MOI 3. Reconsider ALS 4. Reconsider Transport Decision 5. Reassess LOC (AVPU) 6. Rapid Secondary Assessment 7. Vitals 8. S.A.M.P.L.E. 9. Transport 10. Assess/Intervene/Reassess |