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PAAM Subscale Exam Study Guide.

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PAAM Subscale Exam Study Guide. Patient assessment - answerStructured process of gathering information to make a diagnostic opinion of the patient Patient Assessment Powers - answerObservation Questioning Touch Auscultation Sensory Treatment priorities based on: - answerKnown life threats Potential life threats Threats to limb Threats to livelihood PT Assess components - answerScene size up Initial assess Focused hx/physical Detailed exam Ongoing assess Communication Documentation Scene size up - answerSafety Number of pts Additional resources Moi/noi *doesn't stop at pt contact* ©THEBRIGHTSTARS 2024 Initial assessment components - answerGeneral impression Mental status Airway Breathing Circulation Transport decision Assess Airway - answerAdequacy (chest rise, effort, rate) Pulse ox Distress Failure Respiratory Distress - answerDyspnea Mild cyanosis Spo2 >96% Respiratory Failure - answerAMS Retractions, tracheal tugging, nasal flaring, accessory muscles use Cyanosis/pallor Audible sounds Abnormal rate/pattern Spo2 <96% Maximal effort, minimal ventilation 4 type of patients - answerResponsive medical Unresponsive medical Simple trauma Multisystem trauma Responsive Medical assessment - answerSAMPLE Focused exam

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©THEBRIGHTSTARS 2024



PAAM Subscale Exam Study Guide.

Patient assessment - answer✔✔Structured process of gathering information to make a diagnostic
opinion of the patient

Patient Assessment Powers - answer✔✔Observation
Questioning
Touch
Auscultation
Sensory

Treatment priorities based on: - answer✔✔Known life threats
Potential life threats
Threats to limb
Threats to livelihood

PT Assess components - answer✔✔Scene size up
Initial assess
Focused hx/physical
Detailed exam
Ongoing assess
Communication
Documentation

Scene size up - answer✔✔Safety
Number of pts
Additional resources
Moi/noi
*doesn't stop at pt contact*

, ©THEBRIGHTSTARS 2024

Initial assessment components - answer✔✔General impression
Mental status
Airway
Breathing
Circulation
Transport decision

Assess Airway - answer✔✔Adequacy (chest rise, effort, rate)
Pulse ox
Distress
Failure

Respiratory Distress - answer✔✔Dyspnea
Mild cyanosis
Spo2 >96%

Respiratory Failure - answer✔✔AMS
Retractions, tracheal tugging, nasal flaring, accessory muscles use
Cyanosis/pallor
Audible sounds
Abnormal rate/pattern
Spo2 <96%
Maximal effort, minimal ventilation

4 type of patients - answer✔✔Responsive medical
Unresponsive medical
Simple trauma
Multisystem trauma

Responsive Medical assessment - answer✔✔SAMPLE
Focused exam
Baseline vitals

, ©THEBRIGHTSTARS 2024

Unresponsive Medical Assessment - answer✔✔Rapid H2T exam searching for cause
Baseline vitals
SAMPLE hx from people

Simple trauma Assessement - answer✔✔Focused trauma exam
Reevaluate MOI
Baseline vitals
SAMPLE history

Multisystem Trauma - answer✔✔Rapid H2T exam
Baseline vitals
SAMPLE history from bystanders

Ongoing Assessments - answer✔✔Repeat initial q5-15min
Interventions
Changes
Reevaluate therapies
Identify trends

Present Illness/Injury - answer✔✔Chief complaint
General impression

SAMPLE - answer✔✔Symptoms
Allergies
Medications
Past Medical History
Last oral intake
Events preceding

OPQRST-ASPN - answer✔✔Onset
Provocation/Palliation
Quality
Region/Radiation

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