Answers
What are the 3 goals of the patient assessment system - ANS 1. dont become part of the
problem
2. survey for an immediate threats to life
3. gather all possible information about the patients condition
what are the 5 element of the scene size up? - ANS 1. im #1 safety
2. what happened to you? moi
3. dont get any on me. bsi
4. are theyre anymore? # of patients
5. dead or alive?
what are the 5 elements of the initial assessment and what do you do at each step? - ANS A:
airway, check in mouth and remove foreign object if necessary
B: breathing, two deep breathes and check rib cage integrity
C: circulation, check pulse and do a blood sweep
D: decision, based on MOI decide whether or not to continue protecting spine
E: expose, look at chief complaint at skin level
what part of the head to toe exam is most commonly forgotten by students? - ANS the back
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,when do you check the patients back in the head to toe exam - ANS at the beginning or end
what do you do when you find something interesting when preforming a head to toe exam -
ANS investigate further until your curiosity is satisfied
what is the goal of taking multiple sets of vital signs - ANS note change over time in the
major systems of the body
what determines how often you should take vital signs - ANS the more critical and dynamic
the patients condition the more you should take vitals
what are the early changing vitals - ANS lor, hr, rr, sctm (report in this order)
what are the 3 methods for measuring blood pressure - ANS estimation
palpation
ausculation
how do you decide what blood pressure method to use - ANS what gear you have
how noisy the environment is
your level of expertise with each method
patients condition
what does sample stand for - ANS s - symptoms
a - allergies
m - medication
p - pertinent medical history
l - last ins and outs
e - events
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, what is the format of a verbal soap note - ANS summary: your name, reason for call, and
location. patients age, sex, cc, moi and current lor.
observations: pertinent findings from head to toe exam. last set of vitals. pertinent findings
from sample.
assessment: problem list
plan: treatments. evac decision and plan. help and support if needed
what are the 3 classic mois for spinal injury - ANS fall from greater than 3 feet (esp. onto
back, butt, side or head)
fall associated with a loss of consciousness
high velocity impact
what are the 5 principles that should guide your care when lifting and moving a patient while
protecting their spine - ANS limit total number of moves
avoid lateral force
move one plane at a time
maintain neutral alignment
person at the head coordinates the team
speak up with safety concerns
analysis paralysis
plan and prepare
doe the best you can
stop if you meet mechanical resistance
use common sense
what two spinal protection tools can be used as transportation devices - ANS litter
vacuum splint
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