Assessments for paramedics to remember PDF

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Summary

These are assessments you will perform on patients and use in OSCEs. Included is GCS, Neurological Status Assessment, Perfusion Status Assessment, Respiratory Status Assessment, , info about BP and Pulse, primary and secondary survey, vital signs ect. It also includes information that can prove use...

Description

Assessments taught in PAR101, great for first OSCEs Initial clinical assessment The assessment of a seriously unwell child involves the following: - PAT (first impression) - DRSABCDE - Secondary survey: vital signs, focused history, detailed physical examination - Ongoing assessment

Extending your assessment - Secondary assessment Using your diagnostic tool box • Vital signs survey • Medical history - SAMPLE • Pain assessment - SOCRATES • Perfusion status assessment • Neurological status assessment • Respiratory status assessment Secondary survey - head to toe - Neurological examination - Assess motor strength, weakness, sensation - Be mindful of exposure and privacy - Observe for asymmetry and defects - Palpate, inspect and auscultate Assess for the following: Deformities Contusions Abrasions Punctures/penetration/paradoxical movements Burns Tenderness Lacerations Swelling

Primary Assessment: This is based on your initial presentation and chief complaint. - What is the level of consciousness? - Identify your priorities of care. - What is patients age? - Is the patient sick or not sick, stable or unstable? - Consider spinal immobilisation. - Treat life threats, what is required on scene or initiate transport, which hospital? - Assess AVPU. GSC, Glasgow Come Scale Eye Response 1. No opening of the eye 2. Eye opening in response to pain stimulus 3. Eye opening to speech 4. Eyes opening spontaneously Verbal Response 1. No verbal response 2. Incomprehensible sounds 3. Inappropriate words 4. Confused 5. Orientated Motor Response 1. No motor response 2. Decerebrate posturing accentuated by pain (extensor response) 3. Decorticate posturing accentuated by pain (flexor response) 4. Withdrawal from pain 5. Localises to pain 6. Obeys commands

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Vital Sign Survey Respiratory rate (RR) Heart rate (HR) Pulse Blood pressure (Bp) Level of consciousness (LOC) Skin tone/temp Puplis reaction Note! Age appropriate rates are required to identify normal

Perfusion status assessment - Conscious state - Pulse rate - Skin - Blood pressure The ability of the cardiovascular system to supple the body tissues and organs with adequate blood supply to meet their functional demands. (QAS 2018) Inadequate perfusion or ‘poor’ perfusion ’Triggers a systemic stress response, including tachycardia and peripheral vasoconstriction. Once physiological compensation mechanisms are overwhelmed, organ dysfunction ensues, followed by organ failure, irreversible damage, and death.'

Blood Pressure Systolic: Pressure during contraction of the heart Diastolic: When the heart is relaxed (and filling) (Mean Arterial Pressure) Average (Diastolic + 1/3 PP, bottom number) Measured in mm/Hg

Assessing capillary refill Assess peripheral perfusion Poor refill indicates shock dehydration or peripheral artery disease Assess skin perfusion What is the colour, temperature and check for moisture - Red - fever, hypertension, allergy, carbon monoxide poising (late sign) - White (pallor) - blood loss, fright - Blue (cyanosis) - hypoxemia, oxygen desaturation - Mottled - shock, disseminated intravascular coagulopathy (DIC) - Hot, dry - heat stroke - Hot, wet - increased temperature - Cool, dry - cold exposer - Cool, wet – shock Pulse -

>100 bpm - tachycardic...