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Medical Assessment - ✔✔1. Scene Size up (PENMAN)
p - personal, partner, patient
e - environmental hazzards
n - number of pateints
m - mechanism of injury/ nature of illness
a - additional resources
n - need for spinal immobilization
2. General Impression
a) AVPU
b) A & O x4
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Katelyn Whitman, All Rights Reserved © 2025
,c) Chief complaint
3. Primary assessment
a) ABC's + D
A - Airway
- patent and open
B- Breathing
- Rate, Rhythm and quality --> normal, regular, unlabored
- lung sounds --> clear, equal and bilatteral
C-circulation
- skin signs --> temp, moisture, color
- cap refil
- pulse --> rate, rhythm and quality
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,D- decsion to transport
- load and go or stay and play
3. Secondary Assessment
a)SAMPLE
- signs and symptoms
- allergies
"Do you have any allergies?", "Have you come in contact with? How
severe?"
- medications
"are you taking any medications either medicinal or recreational?"
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, - past medical history
"Do you have any relveant medical history?"
- Last oral intake
- events leading up
b) OPQRST
Onset - "did it come on fast or gradually?"
Provacation- "is there anything that makes it better or worse?"
Quality-"can you describe the pain?"
Radiation-"where does it hurt?" (Look and touch)
Scale-"how bad is the pain?"
Time - "when did it start?"
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