CIEMT SKILLS DAY 1 (PATIENT ASSESSMENT).
Perfect Prep for Every Paper | Precision in Every Answer!
Intro To Assessment (Order) - Answer: -BSI and Scene Size up (Safety)
-Primary Assessment
-Secondary Assessment (Medical or Trauma)
-Reassessment
BSI - Answer: -Body Substance Isolation are standard precautions
-at minimum wear gloves
-face mask, goggles
Scene Size Up - Answer: -use PENMAN
-p: personal, partner, patient safety, e: enviornmental dangers, n: number of pt, m: MOI
or NOI, a: additional resources or help, n: need for extrication or spinal immobilization
Primary Assessment - Answer: -General Impression: done while walking up to pt,
conscious? position? life threats? age, sex, smells, sounds or sights
-Assess Responsiveness using AVPU
-After evaluating responsiveness, if awake introduce yourself, ask for chief
complaint(why they called), and gain consent
AVPU - Answer: -Alert: patient is tracking you as you approach
-Verbal Stimuli: if not alert, introduce yourself, call out to them
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
, -Painful Stimuli: of do not respond to verbal, nail bed pinch, interdigital pressure
-Unresponsive: don't respond to either stimulation
Unconscious vs Conscious Patient - Answer: -unconscious pt check for CAB
(circulation, airway patent, breathing) BEGIN CPR and AED procedure
-conscious pt check ABC (airway patent, breathing rrq, and circulation)
When Given Consent to Treat Now Run ABC's - Answer: -A: patent airway, no blood,
vomit, broken teeth
-B:evaluate breathing resp rate, rhythm, and quality of breathing
-C: circulation COPS, cap refill (less than 2 seconds), obvious bleeding, pulse (radial
pulse in conscious pt), skin signs (color, temp, moisture)
-D: deformities/disabilities, fracture breaks and drooping
-E: expose, visualize, palpate the chief complaint
-F: formulate field impression, Mentally summarize what you know so far, discuss what
is going on and what was done
-I: identify pt priority and make a transport decision, critical pt transport immediatly
-Primary Assessment is now done
Administer O2 during...? - Answer: -begin administering O2 during B stage of primary
assessment
Secondary Assessment - Answer: -done after primary is done, one EMT takes history,
the other takes vitals
-first consider what type of patient you have: unresponsive/responsive medical and
major/minor trauma
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
Perfect Prep for Every Paper | Precision in Every Answer!
Intro To Assessment (Order) - Answer: -BSI and Scene Size up (Safety)
-Primary Assessment
-Secondary Assessment (Medical or Trauma)
-Reassessment
BSI - Answer: -Body Substance Isolation are standard precautions
-at minimum wear gloves
-face mask, goggles
Scene Size Up - Answer: -use PENMAN
-p: personal, partner, patient safety, e: enviornmental dangers, n: number of pt, m: MOI
or NOI, a: additional resources or help, n: need for extrication or spinal immobilization
Primary Assessment - Answer: -General Impression: done while walking up to pt,
conscious? position? life threats? age, sex, smells, sounds or sights
-Assess Responsiveness using AVPU
-After evaluating responsiveness, if awake introduce yourself, ask for chief
complaint(why they called), and gain consent
AVPU - Answer: -Alert: patient is tracking you as you approach
-Verbal Stimuli: if not alert, introduce yourself, call out to them
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
, -Painful Stimuli: of do not respond to verbal, nail bed pinch, interdigital pressure
-Unresponsive: don't respond to either stimulation
Unconscious vs Conscious Patient - Answer: -unconscious pt check for CAB
(circulation, airway patent, breathing) BEGIN CPR and AED procedure
-conscious pt check ABC (airway patent, breathing rrq, and circulation)
When Given Consent to Treat Now Run ABC's - Answer: -A: patent airway, no blood,
vomit, broken teeth
-B:evaluate breathing resp rate, rhythm, and quality of breathing
-C: circulation COPS, cap refill (less than 2 seconds), obvious bleeding, pulse (radial
pulse in conscious pt), skin signs (color, temp, moisture)
-D: deformities/disabilities, fracture breaks and drooping
-E: expose, visualize, palpate the chief complaint
-F: formulate field impression, Mentally summarize what you know so far, discuss what
is going on and what was done
-I: identify pt priority and make a transport decision, critical pt transport immediatly
-Primary Assessment is now done
Administer O2 during...? - Answer: -begin administering O2 during B stage of primary
assessment
Secondary Assessment - Answer: -done after primary is done, one EMT takes history,
the other takes vitals
-first consider what type of patient you have: unresponsive/responsive medical and
major/minor trauma
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
