New York State EMT practical skills
examination
1. medical - scene size up - answer* BSI
* Scene Safety
- MOI/NOI
- # of patients
- ALS
- C-spine
1. medical - primary assessment - answer- general impression
- AVPU
- Chief complaint/apparent life threats
* Assess airway
*Initiate oxygen
* Assures adequate ventilation (rate, quality, chest rise)
*Manages life threats to airway/breathing (epi, albuterol)
*Assess major bleeding
*Assess pulse
* Assess skin
* airway, breathing, circulation
*ID priority patient + updates ALS
1. medical - secondary assessment - answer- Pulse rate + quality
- Respiration rate + quality
- Blood pressure
- skin - color, temp, condition
- Onset, provocation, quality, radiation, severity, time
- allergies, medications, past medical history, last oral intake, events
* detailed assessment of appropriate body system
- state general impression
-verbalize treatments
1. medical - body systems - answercardiovascular, pulmonary, neurological,
musculoskeletal, integumentary, Gi/GU, reproductive, psychological/social
1. medical - reassessment - answer- states reassessment every 5 minutes
, - gives report to ALS
2. trauma - Scene size-up - answer* scene safety
* BSI
- # of patients
- state MOI
- Call ALS
*C-spine collar
2. trauma - primary assessment - answer- state general impression
- determine LOC/AVPU
- determine chief complaint/apparent life threats
* assess airway + OPA
* initiates oxygen therapy
*Assures adequate ventilation (look, listen, feel for chest rise)
*blood sweep + control major bleeding
*assess pulse
*skin - color, temp, condition
*ID priority patient
*Update ALS crew w/ report
2. trauma - secondary history - answerTries to obtain SAMPLE from bystanders
2. trauma - secondary head - answer1. inspect mouth and nose
2. inspect + palpate scalp, ears, and facial area
- crepitus, battle signs, raccoon eyes, fractures, CSF
3. assess eyes (pupils PERRL)
4. palpate trachea for position (midline)
5. check for JVD (heart failure, hypertension, cardiac tamponade)
6. palpate cervical spine
2. trauma - secondary torse - answer1. inspect + palpate chest
2. listen to lungs L/R
3. inspect + palpate abdoment
4. assess pelvis for crepitus
5. verbalize assessment of genitalia
2. trauma - secondary limbs - answer- inspect (DCAP-BTLS)
examination
1. medical - scene size up - answer* BSI
* Scene Safety
- MOI/NOI
- # of patients
- ALS
- C-spine
1. medical - primary assessment - answer- general impression
- AVPU
- Chief complaint/apparent life threats
* Assess airway
*Initiate oxygen
* Assures adequate ventilation (rate, quality, chest rise)
*Manages life threats to airway/breathing (epi, albuterol)
*Assess major bleeding
*Assess pulse
* Assess skin
* airway, breathing, circulation
*ID priority patient + updates ALS
1. medical - secondary assessment - answer- Pulse rate + quality
- Respiration rate + quality
- Blood pressure
- skin - color, temp, condition
- Onset, provocation, quality, radiation, severity, time
- allergies, medications, past medical history, last oral intake, events
* detailed assessment of appropriate body system
- state general impression
-verbalize treatments
1. medical - body systems - answercardiovascular, pulmonary, neurological,
musculoskeletal, integumentary, Gi/GU, reproductive, psychological/social
1. medical - reassessment - answer- states reassessment every 5 minutes
, - gives report to ALS
2. trauma - Scene size-up - answer* scene safety
* BSI
- # of patients
- state MOI
- Call ALS
*C-spine collar
2. trauma - primary assessment - answer- state general impression
- determine LOC/AVPU
- determine chief complaint/apparent life threats
* assess airway + OPA
* initiates oxygen therapy
*Assures adequate ventilation (look, listen, feel for chest rise)
*blood sweep + control major bleeding
*assess pulse
*skin - color, temp, condition
*ID priority patient
*Update ALS crew w/ report
2. trauma - secondary history - answerTries to obtain SAMPLE from bystanders
2. trauma - secondary head - answer1. inspect mouth and nose
2. inspect + palpate scalp, ears, and facial area
- crepitus, battle signs, raccoon eyes, fractures, CSF
3. assess eyes (pupils PERRL)
4. palpate trachea for position (midline)
5. check for JVD (heart failure, hypertension, cardiac tamponade)
6. palpate cervical spine
2. trauma - secondary torse - answer1. inspect + palpate chest
2. listen to lungs L/R
3. inspect + palpate abdoment
4. assess pelvis for crepitus
5. verbalize assessment of genitalia
2. trauma - secondary limbs - answer- inspect (DCAP-BTLS)
