Patient Assessment Flow Chart PDF

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Description

EMT Patient Assessment Scene Size Up P – personal, partner, patient safety E – environmental hazards N – number of patients M – mechanism of injury or nature of illness A – additional resources if needed N – need for spinal motion restriction

General Impression Level of Consciousness •

AVPU

•

oriented to time, place, self & event

Chief Complaint

Primary Assessment A – airway •

open & patent

B – breathing •

rate, rhythm & quality

•

auscultate lung sounds based on chief complaint

C – circulation •

pulse – rate, rhythm & quality

•

skin parameters – color, temperature & moisture

Decision to Transport •

load & go or stay & play

Medical Secondary Assessment SAMPLE S – signs & symptoms A – allergies & what happens M – medications & compliance P – past medical history L – last oral intake E – events leading up Vital Signs P – pulse rate R – respiration rate B – blood pressure E – eyes L – lung sounds L – level of consciousness S – oxygen saturation S – blood sugar S – skin parameters G – Glasgow Coma Scale

Focused Assessment O – onset P – provocation & palliation Q – quality R – radiation S – severity T – time Chief Complaint based questions

Trauma Secondary Assessment Rapid Head to Toe Physical Exam Expose, Palpate & Assess for DCAP-BTLS Head •

Pupils equal, round, reactive to light (PERRL)

• • •

jugular vein distention tracheal deviation spinal step off

Neck

Chest • auscultate lung sounds Abdomen • soft & tender in 4 quadrants Pelvis

Genitalia • assess based on chief complaint Legs • circulation, motor function, sensation Arms • circulation, motor function, sensation Back SAMPLE Focused Assessment (OPQRST) Vital Signs

Reassessment Stable – reassess every 15 minutes

Unstable – reassess every 5 minutes...