Module 3

1. Module 3 Patient Assessment

2. Patient Assessment Scene Size Up Initial Assessment Physical Examination Patient History On-Going Assessment

3. Scene Size Up Body Substance Isolation Is the Scene Safe? Mechanism of Injury /Nature of Illness? How many patients involved? Additional Resources Needed?

4. Body Substance Isolation “Body substance isolation (BSI) precautions must be taken on every call.”

5. Rescuer Wears Protective Eyewear

6. Rescuer Dons Gloves

8. Rescuer Wears Simple Surgical Mask

9. Rescuer Wears HEPA Mask

10. Is the Scene Safe? “An assessment of the scene and surroundings will provide valuable information to the First Responder and will ensure the well-being of the First Responder.”

11. Unstable Situation

12. HazMat Situation

13. Violent Situation

14. Scene Safety Personal Protection. Protection of the patient. Protection of bystanders. If the scene is unsafe, make it safe. Otherwise, DO NOT ENTER.

15. Mechanism of Injury An evaluation of the forces that caused an injury. May be beneficial in determining the presence of internal injuries. Determined from the patient, family or bystanders and inspection of the scene.

16. Trauma Patient

17. Impact #1

18. Impact #2

19. Impact #3

20. Nature of Illness Medical. Determined from patient, family or bystanders. Why was EMS called?

22. How many patients? Obtain additional help prior to contact with patients. Fire Rescue Police Utilities ALS

23. Initial Assessment General Impression Assess Responsiveness Airway Breathing Circulation Update EMS

24. Initial Assessment “The initial assessment is completed to assist the First Responder in identifying Immediate Threats to Life.”

25. General Impression Based on the First Responder’s immediate assessment of the environment and the patient’s chief complaint.

26. General Impression

27. Assess Responsiveness Stabilize spine if trauma is suspected! Alert Verbal Painful Unresponsive

28. Establish responsiveness with patient prone.

29. Establish responsiveness with patient supine.

30. Assess Airway Status Open the airway Inspect the airway Clear airway, as needed

31. Open airway; perform head-tilt/chin-lift maneuver.

32. Open airway; perform jaw thrust.

33. Suction with rigid tip.

34. Insert oropharyngeal airway.

35. Assess the patient’s breathing Look at the effort of breathing. Look, listen, and feel for presence of ventilations. Ventilate as needed.

36. Assess breathing; look, listen, feel.

37. Mouth-to-mask Ventilations

38. Assess the Patient’s Circulation Assess Pulse Assess for Major Bleeding Assess Skin

39. Pulse

40. Check for a carotid pulse.

41. Assess circulation by checking brachial pulse (infant).

42. Locate bleeding.

43. Rescuer controls hemorrhage.

44. Skin Temperature

45. Update responding EMS Age and sex Chief Complaint Responsiveness Airway / Breathing Circulation ETA?

46. Physical Examination “The First Responder Physical Exam is designed to locate and begin the initial management of the signs and symptoms of illness or injury.”

47. Physical Examination The First Responder should complete a physical exam on all patients following the initial assessment. Patient and injury specific.

48. Physical Examination Inspect and palpate for DOTS. Deformities Open injuries Tenderness Swelling

49. Physical Examination Head Neck Chest Abdomen Pelvis Extremities

50. Assess the head.