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*
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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
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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