BLEEDING CONTROL/SHOCK MANAGEMENT - PPE
Apply direct pressure to wound
(Examiner will state the wound is still bleeding)
Apply tourniquet
(Examiner will state patient is showing signs/symptoms of hypoperfusion/shock)
Properly position the patient (supine with legs elevated)
Administer high-flow O₂
Initiate steps to prevent heat loss (blankets under and on top)
Indicate the need for immediate transport
MEDICAL - 1. SCENE SIZE-UP
BSI/PPE
Scene safe
MOI/NOI
# of patients
ALS backup
Consider c-spine
2. PRIMARY SURVEY/RESUSC.
General impression
AVPU/LOC
Chief complaint/apparent life threats
Airway: open & assess, insert adjunct
Breathing: assess, assure adequate ventilation, O₂ therapy if necessary, manage any injury compromising
breathing
Circulation: check pulse, assess skin, assess and control major bleeding, initiate shock management if
indicated
, Identify patient priority level/make transport decision
2. PRIMARY SURVEY/RESUSC.
General impression
AVPU/LOC
Chief complaint/apparent life threats
Airway: open & assess, insert adjunct
Breathing: assess, assure adequate ventilation, O₂ therapy if necessary, manage any injury compromising
breathing
Circulation: check pulse, assess skin, assess and control major bleeding, initiate shock management if
indicated
Identify patient priority level/make transport decision
3. HISTORY TAKING
Obtain baseline vitals (BP, P, & RR)
Obtain SAMPLE history
4. SECONDARY ASSESSMENT/DCAP-BTLS
Head: Inspect/palpate scalp & ears, eyes, mouth, nose, and facial area
Neck: Check tracheal position, jugular veins, palpate c-spine
Chest: Inspect, palpate, and auscultate chest
Abdomen/Pelvis: Inspect & palpate abdomen + pelvis, verbalize assessment of genitalia if needed
Lower extremities: Inspect, palpate, and check PMS
Upper extremities: Inspect, palpate, and check PMS
Posterior thorax/lumbar/buttocks: Inspect and palpate
Manage secondary injuries and wounds appropriately
5. REASSESSMENT
Indicate how and when to reassess patient
3. HISTORY TAKING
OPQRST & any clarifying questions