Patient Assessment

6 Patient Assessment

ADVANCED PATIENT ASSESSMENTObjectives • Six Phases of Patient Assessment • ABCDE Primary Survey • Secondary Assessment • Four Vital Signs • Medical History

ADVANCED PATIENT ASSESSMENTPhases of Patient Assessment • Pre-arrival • Scene Survey • Primary Assessment • Secondary Assessment • Vital Signs • Patient History

PRE-ARRIVAL

SCENE SURVEY

ADVANCED PATIENT ASSESSMENTScene Survey • Hazards • Mechanism of Injury • Summon Backup as Needed • Locate Patients

ADVANCED PATIENT ASSESSMENT • What are “Universal Precautions?” • When are they initiated?

ADVANCED PATIENT ASSESSMENT “ABCs” vs. “ABCDEs” What is the “Goal” of the Primary Assessment?

ADVANCED PATIENT ASSESSMENT • Airway • Breathing • CardiovascularFunction • Disability(Neurological Exam) • Expose

ADVANCED PATIENT ASSESSMENT Look Airway Listen Feel Look Breathing Listen Feel

ADVANCED PATIENT ASSESSMENT Look CirculationListen Function Feel Look Disability Listen Feel (AVPU) Look Expose Listen Feel

ADVANCED PATIENT ASSESSMENT Differences In Primary Survey Of “Trauma” vs. “Medical” Patients

ADVANCED PATIENT ASSESSMENT “Trauma” vs. “Medical” Patients When is Treatment Initiated?

ADVANCED PATIENT ASSESSMENT Stabilization vs. “Load and Go” ?

ADVANCED PATIENT ASSESSMENTSecondary Assessment • Inspection • Palpation • Auscultation • Percussion • Head-to-Toe Exam

ADVANCED PATIENT ASSESSMENTHead & Face • Battle’s Sign • Raccoon Eyes • Dysconjugate Gaze • Doll’s Eye Response

ADVANCED PATIENT ASSESSMENTChest • Stridor • Rhonchi • Wheezes • Rales

ADVANCED PATIENT ASSESSMENTAbdomen • Cullen’s Sign • Grey Turner’s Sign • Rebound Tenderness • Ascites

ADVANCED PATIENT ASSESSMENTCompromised Limb Findings • Absent Pulse • Cyanosis • Limb Cool • Slow/Absent Capillary Refill

ADVANCED PATIENT ASSESSMENT Repeat Neurological Exam Why? Alert & Oriented x 3 Glasgow Coma Scale

ADVANCED PATIENT ASSESSMENTVital Signs • Blood Pressure • Pulse • Respirations • “Skin Vitals”

Patient Assessment