Assessment

 

 

 

Spinal Nerves

Basic Mnemonics

 

 

 

 

 

 

 

 

 

Heat Stroke vs. Heat Exhaustion

Shock Visual

Revised Trauma Score

Glasgow Coma Scale GCS Points 15-13 4 12-9 3 8-6 2 5-4 1 3 0

Systolic Pressure SBP Points >89 4 76-89 3 50-75 2 1-49 1 0 0

Respiratory Rate RR Points 10-29 4 >29 3 6-9 2 1-5 1 0 0

Vital Signs

Quick Study Guide for Vital Signs

 

Vital Signs

·    Pulse

·    Respiration

·    Skin color, temperature, condition

·    Pupils

·    Blood pressure

 

SAMPLE History

·    S—Signs and symptoms

·    A—Allergies

·    M—Medications

·    P—Pertinent past history

·    L—Last oral intake

·    E—Events leading to the injury or illness

Trauma Assessment

Quick Study Guide for Trauma Assessment

 

Focused History and Physical Exam—Trauma with No Significant Mechanism of Injury (MOI)

·    Reconsider the MOI.

·    Determine the chief complaint.

·    Perform a focused physical exam.

·    Obtain baseline vital signs.

·    Take a SAMPLE history.

 

DCAP-BTLS

·    D—Deformities

·    C—Contusions

·    A—Abrasions

·    A—Punctures/Penetrations

·    B—Burns

·    T—Tenderness

·    L—Lacerations

·    S—Swelling

 

Focused History and Physical Exam—Trauma with a Significant Mechanism of Injury (MOI)

·    Reconsider the MOI.

·    Continue manual stabilization of the head and neck.

·    Consider requesting advanced life support.

·    Reconsider transport decision.

·    Reassess mental status.

·    Perform a rapid trauma assessment.

·    Obtain baseline vital signs.

·    Take a SAMPLE history.

 

Rapid Trauma Assessment

·    Head

·    Neck (apply cervical collar)

·    Chest

·    Abdomen

·    Pelvis

·    Extremities

·    Posterior body (immobilize to a backboard)

 

Detailed Physical Exam

·    Repeat initial assessment.

·    Complete all critical interventions.

·    Head

·    Neck

·    Chest

·    Abdomen

·    Pelvis

·    Extremities

·    Posterior body

·    Reassess vital signs.

Medical Assessment

Quick Study Guide for Medical Assessment

 

Focused History and Physical Exam—Responsive Medical Patient

·    History of the present illness

·    SAMPLE history

·    Focused physical exam

·    Baseline vital signs

 

OPQRST

·    O—Onset

·    P—Provokes

·    Q—Quality

·    R—Radiation

·    S—Severity

·    T—Time

 

Focused History and Physical Exam—Unresponsive Medical Patient

·    Perform a rapid physical exam.

·    Obtain baseline vital signs.

·    Consider request for advanced life support.