Trauma Assessment (NREMT Psychomotor Exam EMT-B)
Study online at https://quizlet.com/_3u8692
1. 1. Scene Size-up Scene Safety/BSI
Mechanism of Injury
Number of Patients
ALS
C-Spine
2. 2. Primary Assessment General Impression
LOC using AVPU + Orientation
Life Threats/Chief Complaint
Airway
Breathing
Circulation
Priority Decision/Transport
3. C-Spine State for 2nd rescuer to hold c-spine and don't let
go until you tell them to
4. LOC Alert, Verbal Stimuli, Pain Stimuli, Unconscious
Person, Place, Time, and Event
5. Airway If the pt is unconscious, jaw thrust for 3-5 seconds
to determine patency.
Verbalize suctioning as needed (no more than 10
seconds at a time)
Verbalize OPA/NPA measurement and insertion.
6. Breathing Expose the chest!
Look for equal chest rise/fall and injuries, auscul-
tate for lung sounds mid-axillary and mid-clavicular,
palpate for structural integrity.
Respiration RRQ.
Note signs of respiratory distress - retractions, ac-
cessory muscle use, positioning. In pedi patients,
nasal flaring, grunting, and see-saw respirations.
SPO2 & appropriate device.
If no breathing, assist w/BVM (~12/min)
If inadequate ventilations, assist w/BVM.
Manage major injuries with a semi-occlusive dress-
1/5
, Trauma Assessment (NREMT Psychomotor Exam EMT-B)
Study online at https://quizlet.com/_3u8692
ing and/or PPV (flail chest segment or sucking
chest wound), bulky dressing.
7. Circulation/Perfusion If unconscious, check carotid first.
Pulse RRQ
Sticky test.
CRT & Skin CTC.
If no pulse, start CPR (30:2)
Control arterial bleeding
8. Shock Confirm any shock identifiers.
Treat with O2, position pt., keep warm, rapid trans-
port, ALS.
9. 3. Rapid Trauma As- DCAP-BTLS
sessment Head/scalp
Face/mandible
Ears
Eyes
Nose
Mouth
Neck (c-collar application after)
Back
Chest
Abdomen
Pelvic Area
Extremities
10. DCAP-BTLS Deformities
Contusions
Abrasions
Penetrations
Burns
Tenderness
Lacerations
Swelling
11. Head/scalp DCAP-BTLS
2/5
Study online at https://quizlet.com/_3u8692
1. 1. Scene Size-up Scene Safety/BSI
Mechanism of Injury
Number of Patients
ALS
C-Spine
2. 2. Primary Assessment General Impression
LOC using AVPU + Orientation
Life Threats/Chief Complaint
Airway
Breathing
Circulation
Priority Decision/Transport
3. C-Spine State for 2nd rescuer to hold c-spine and don't let
go until you tell them to
4. LOC Alert, Verbal Stimuli, Pain Stimuli, Unconscious
Person, Place, Time, and Event
5. Airway If the pt is unconscious, jaw thrust for 3-5 seconds
to determine patency.
Verbalize suctioning as needed (no more than 10
seconds at a time)
Verbalize OPA/NPA measurement and insertion.
6. Breathing Expose the chest!
Look for equal chest rise/fall and injuries, auscul-
tate for lung sounds mid-axillary and mid-clavicular,
palpate for structural integrity.
Respiration RRQ.
Note signs of respiratory distress - retractions, ac-
cessory muscle use, positioning. In pedi patients,
nasal flaring, grunting, and see-saw respirations.
SPO2 & appropriate device.
If no breathing, assist w/BVM (~12/min)
If inadequate ventilations, assist w/BVM.
Manage major injuries with a semi-occlusive dress-
1/5
, Trauma Assessment (NREMT Psychomotor Exam EMT-B)
Study online at https://quizlet.com/_3u8692
ing and/or PPV (flail chest segment or sucking
chest wound), bulky dressing.
7. Circulation/Perfusion If unconscious, check carotid first.
Pulse RRQ
Sticky test.
CRT & Skin CTC.
If no pulse, start CPR (30:2)
Control arterial bleeding
8. Shock Confirm any shock identifiers.
Treat with O2, position pt., keep warm, rapid trans-
port, ALS.
9. 3. Rapid Trauma As- DCAP-BTLS
sessment Head/scalp
Face/mandible
Ears
Eyes
Nose
Mouth
Neck (c-collar application after)
Back
Chest
Abdomen
Pelvic Area
Extremities
10. DCAP-BTLS Deformities
Contusions
Abrasions
Penetrations
Burns
Tenderness
Lacerations
Swelling
11. Head/scalp DCAP-BTLS
2/5
