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Questions and Answers
The goal of the systematic head-to-toe exam that is performed during the secondary assessment is to:
The systematic head-to-toe assessment should be performed on:
Upon arriving at the scene of a patient with difficulty breathing, you determine that the scene is safe. Your first action should be to:
When a patient's respirations are shallow:
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When assessing a patient's abdomen, you will evaluate for all of the following, EXCEPT:
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When assessing the skin of an unresponsive patient, you note that it has a bluish tint to it. This finding is called:
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When interviewing a patient, you can show him or her that you understand the situation by:
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When palpating a patient's pulse, you note that there is a short interval between pulsations. This indicates that the pulse is:
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When performing a rapid exam on a supine patient, what part of the body is typically assessed last?
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When using the pulse oximeter as part of your assessment of a patient, it is important to remember that:
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You are dispatched to the county jail for an inmate who is 'sick.' When you arrive, you find the patient, a 33-year-old male, unresponsive. His airway is patent and his respirations are rapid and shallow. Your initial action should be to:
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You respond to the residence of a 62-year-old male who is unresponsive. Your primary assessment reveals that he is apneic and pulseless. You should:
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Study Notes
Systematic Head-to-Toe Exam
- The primary goal of a head-to-toe exam is to locate injuries not found during primary assessment.
- This assessment is crucial for patients with significant mechanism of injury (MOI) and unresponsive medical patients.
Initial Patient Interaction
- Introducing yourself to the patient in respiratory distress is the first action to establish communication and assess the situation.
Respiratory Assessment
- Shallow respirations result in markedly reduced tidal volume, which signifies inadequate ventilation.
Abdominal Assessment
- Key factors assessed in the abdomen include open wounds, gross bleeding, tenderness, and rigidity, but subcutaneous emphysema is not typically assessed.
Skin Color Indicators
- A bluish tint to the skin is termed cyanosis, indicating inadequate oxygenation.
Effective Patient Interviewing
- Understanding the patient involves repeating their statements, showing empathy, and confirming comprehension of their condition.
Pulse Assessment
- A short interval between pulsations during pulse palpation indicates a rapid pulse.
Body Assessment Order
- In a rapid examination of a supine patient, the posterior body is typically assessed last to ensure thorough evaluation.
Pulse Oximeter Limitations
- Pulse oximetry may give inaccurate readings in situations involving vasoconstriction or blood loss, like anemia or profuse bleeding.
Emergency Response Actions
- In a case of an unresponsive patient with rapid, shallow respirations, immediate assisted ventilation is crucial.
- In cases of apneic and pulseless patients, start CPR and attach the AED without delay to increase survival chances.
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Description
Test your knowledge on the systematic head-to-toe exam from EMT Chapter 9. This quiz focuses on understanding the goals and procedures necessary during the secondary assessment in emergency situations. Perfect for reinforcing vital concepts in emergency medical training.
