AV Assessments Summary PDF

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Summary

Common on road assessments apart of the secondary survey ...

Description

Clinical Approach: 1. Primary Survey DRABCH 2. Implement basic care (EG: Oxygen, R&R, Comfort) 3. Obtain a detailed history from the patient EG: Past history, current history, family history. Event leading up to ambulance 4. Vital Signs Survey VSS (EG: PSA, RSA, GCS, BP, Pulse, SpO2) 5. Complete a more focused assessment of your patient (EG: Secondary survey, temp, BGC, ECG) 6. Determine the main presenting problems and develop a management plan 7. Take required action and initiate treatment Primary Survey: D – Dangers R – Response A – Airways B – Breathing C – Circulation H – Haemorrhage Assessments: Assessment VSS – Vital Signs Survey

PSA – Perfusion Status Assessment

RSA – Respiratory Status Assessment

GSC – Glasgow Coma Scale

What does it entitle? PSA – Perfusion Status Assessment RSA – Respiratory Status Assessment GCS Skin Assessment Pulse Blood Pressure Conscious State RR Heart Rate Breathing efforts Patient appearance Speech Breath sounds Chest Auscultation Conscious State Respiratory Rhythm Neurological assessment to assess a person’s consciousness

Normal ranges

Severe 3-8 Moderate 9-12 Mild 13-15

Pulse Assessment

Pulse Oximetry

Eye opening (out of 4) Verbal Response (out of 5) Motor Response (out of 6) Assessment of the pulse with palpation *BP and Pulse have a strong correlation* Level of Sp02 in the blood

Pain Assessment

Description /Quality Onset/Timing Location/Radiation Other symptoms Relief

BGL – Blood Glucose Level

The blood sugar levels through the glucometer

ECG

Electrocardiogram detecting heart problems by measuring the electrical activity generated by the heart as it contracts

60-100 bpm Strong Regular Present >95

Hypoglycaemic 95% 120-140/60-90

Respiratory Rate Oxygen Saturation Sp02 Blood Pressure

Hypertension Hypotension History (Hx)

Skin Assessment

Pupils

Heart Rate Chest Auscultation

Physical Assessment “Head to toe”

Signs/Symptoms Allergies Medications Past medical history/family Last ins and outs Events prior to event Skin Colour – pink, pallor, cyanosis, flushed Skin Turgor Skin Moisture – Moist/clammy, normal, dry Skin Temperature – Cool, cold, warm, hot

Pink Warm Dry Abnormalities: Flaky, Dry Mucous Membrane, Cyanosis, Yellow, Flushed, Clammy

Assessment of the pupils is undertaken to identify changes in intracranial pressure *Important for Drug Overdose* Listening to the chest via stethoscope

60-100 Clear Equal (R=L) Clear to bases

Sight and palpation

Not normal: crackles, wheeze, stridor, cough, silence, consolidation Pain free No haemorrhage Bones on the inside No deformities Abnormalities: Swelling, Oedema,...