EMT Patient Assessment 2023 with Complete Solutions

What are the first five things you need to complete for scene size up? - ANSWER-1. PPE for BSI 2. Scene safe 3. # of Patients 4. Need additional resources 5. Mechanism of Injury/Nature of Illness How would you describe an injury that caused Blunt Force Trauma - ANSWER-Does not break the skin and you commonly see a bruise with this What is the purpose of the primary assessment? - ANSWER-To identify and treat any life threatening conditions After you complete your scene size up and as you approach your patient, what is the first thing you should have one of your partners do to the patient? - ANSWER-Stabilize their spine A in AVPU - ANSWER-Alert V in AVPU - ANSWER-Verbal P in AVPU - ANSWER-Painful U in AVPU - ANSWER-unresponsive How would you describe a sign? - ANSWER-Something you see, feel or hear How would you describe a symptom? - ANSWER-Something the patient describes; feels. How do you know your patient has a good airway? - ANSWER-Because they are talking to you. If you patient did not have a good airway, how could you fix it? - ANSWER-1. open the airway 2. insert an airway 3. suction What 3 things do you do under the breathing assessment? - ANSWER-1. Assess their breathing; palpate and auscultate 2. give oxygen 3. treat any major chest injuries What 3 things do you do under the circulation assessment? - ANSWER-1. check a pulse 2. skin color and temperature 3. assess for any major bleeding; bright red is VERY bad If you assessing someone breathing status and you hear stridor, what is it and where is it occurring in the airway? - ANSWER-High pitched sound and there is a problem with the upper airway. Airway patency must be continually.......... - ANSWER-Reassessed What do we reassess in our patient's at the completion of the patient assessment skill? - ANSWER-The primary assessment. How often to we reassess a stable patient? - ANSWER-Every 15 minutes How often do we reassess an unstable patient? - ANSWER-Every 5 minutes If you are completing your secondary assessment and your patient suddenly starts to crash, what should you do? - ANSWER-Stop your secondary assessment and go back to the primary assessment. You are completing your primary assessment on a patient who is extremely critical. At what point will you do your secondary assessment? - ANSWER-You may never get to the secondary assessment do to severity of your patient. Why should you do SAMPLE early on? - ANSWER-In case the patient goes unconscious and you can't get your information. You are assessing a trauma patient and the patient does not have JVD present. What might this indicated that is going on with your patient? - ANSWER-Blood Loss You are treating a patient with tracheal deviation. What injury might this patient have experienced to cause this? - ANSWER-pneumothorax - lung popped. Your patient has a sucking chest wound. What is the appropriate treatment for this? - ANSWER-Occlusive dressing What is an occlusive dressing? - ANSWER-any dressing that forms an airtight seal What does paradoxical mean? - ANSWER-unequal chest movement What does the term flail chest mean? - ANSWER-3 or more ribs broken in 2 or more places A patient with a flail chest injury will present with what sign when you are doing your assessment on them? - ANSWER-Paradoxical chest movement You are treating a patient who is occasionally gasping for breaths; agonal respirations. How should you treat them? - ANSWER-Like they are not breathing at all. C in CUPS - ANSWER-critical U in CUPS - ANSWER-Unstable P in CUPS - ANSWER-Potentially unstable S in CUPS - ANSWER-Stable How long should it take to complete your primary assessment? - ANSWER-60-90 seconds S in SAMPLE - ANSWER-signs and symptoms A in SAMPLE - ANSWER-Allergies M in SAMPLE - ANSWER-medications P in SAMPLE - ANSWER-past medical history L in SAMPLE - ANSWER-Last oral intake E in SAMPLE - ANSWER-Events leading up to the incident What are three (3) techniques you should use while you are completing your assessments on your patient? - ANSWER-1. inspection 2. palpation 3. auscultation D in DCAPBTLS - ANSWER-Deformities C in DCAPBTLS - ANSWER-Contusions A in DCAPBTLS - ANSWER-Abrasions P in DCAPBTLS - ANSWER-Punctures/Penetrations B in DCAPBTLS - ANSWER-Burns T in DCAPBTLS - ANSWER-tenderness