EMT Medical Assessment Flashcards

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Questions and Answers

What is the first step in the EMT medical assessment?

BSI is my scene safe?

What does a scene size up involve?

My nature of illness is... My number of patients is... Requesting ALS assistance Considering C-spine stabilization

What is included in the primary survey in EMT assessment?

My general impression of my patient is poor

What should an EMT say when introducing themselves?

Sir or ma'am, my name is Seaman Indiongco from METC EMS. Can I help you? Signup and view all the answers

What are the three questions to ask a patient?

What is your name? Do you know what time it is? Do you know where you are? Signup and view all the answers

What does A and O stand for in the EMT assessment?

My patient is alert and orientated times... Signup and view all the answers

What should the EMT ask regarding the chief complaint?

Why did you call us today? Signup and view all the answers

What is the patient's chief complaint?

My patient's chief complaint is... Signup and view all the answers

What does checking the airway involve if the patient is talking?

My patient is talking to me so the airway is clear Signup and view all the answers

What should be done if the patient is not talking?

I will have my partner open the airway to see if it is clear Signup and view all the answers

What should be assessed regarding breathing?

I will check breathing Signup and view all the answers

What action is taken for breathing at 15 LPM?

I will have my partner apply an NRB at 15 LPM Signup and view all the answers

What should be done if the patient tolerates treatment?

Move to circulation Signup and view all the answers

What should be done if the patient does not tolerate treatment?

Try another oxygen delivery device Signup and view all the answers

What does the circulation assessment involve?

Exposing chest to scan the body and control any major bleeding Signup and view all the answers

What should be done if there is profuse bleeding?

Treat injury immediately Signup and view all the answers

What to check if there is no bleeding?

Move to checking patient's pulse Signup and view all the answers

What should the EMT do regarding pulse?

I will check my patient's pulse Signup and view all the answers

What skin characteristics should be assessed?

Assessing patient's skin color, condition, and temperature Signup and view all the answers

Why is covering the patient important?

Covering my patient for dignity purposes and to treat for shock Signup and view all the answers

What indicates a high priority for transport?

My patient is a high priority for transport Signup and view all the answers

What does OPQRST stand for in patient assessment?

Sir or ma'am, I need to ask you a few more questions to get a better idea of the history of your present illness Signup and view all the answers

What to ask regarding the onset of pain?

What were you doing when this started? Signup and view all the answers

What should be asked about pain provocation?

Can you think of anything that might have triggered this? Signup and view all the answers

What question should be asked regarding pain quality?

Can you describe it for me? Signup and view all the answers

What should the patient be asked regarding pain radiation?

Where exactly is this pain? Does it seem to spread anywhere? Signup and view all the answers

What severity scale should the patient use?

On a scale of 1 to 10, 10 being the worst pain you ever felt, how bad is your pain? Signup and view all the answers

What to ask about the time when the pain started?

When did the pain start? Has it changed at all since it started? Signup and view all the answers

What intervention options should be discussed?

Have you done anything or taken anything to treat your condition? Signup and view all the answers

What does AMPLE stand for in patient history?

Sir or ma'am, I also need to ask a few questions to get an idea of your past medical history Signup and view all the answers

What should the EMT ask regarding allergies?

Are you allergic to anything? Signup and view all the answers

What medication-related question should be asked?

What medications do you take? Signup and view all the answers

What should be asked about the patient's medical history?

Do you have any other medical problems? Have you had this kind of problem before? Signup and view all the answers

What to ask regarding last oral intake?

When was the last time you have anything to eat or drink? What was it? Signup and view all the answers

What to inquire about the events leading to the present illness?

How have you felt today? Experienced anything out of the ordinary? Signup and view all the answers

What does the physical exam focus on?

Assess ONLY the affected body part/system Signup and view all the answers

What should be assessed in the respiratory evaluation?

I will assess the chest for DCAP BTLS, listen to lung sounds, note position of patient, effort to breathe, look for edema, assess pulse oximetry Signup and view all the answers

What should be assessed in the cardiovascular evaluation?

Assess chest for DCAP BTLS, listen to lung sounds, look for JVD, look for ankle edema Signup and view all the answers

What does the neurological assessment involve?

Will use the FAST components of the Cincinnati stroke scale to assess Face, Arms, Speech, and Test Signup and view all the answers

What vital signs are included in the baseline assessment?

Blood pressure, Eyes, Respiration, Pulse, Skin color, condition, and temperature, Oxygen saturation Signup and view all the answers

What is the field impression of a patient?

The field impression of my patient is... Signup and view all the answers

What intervention should be contacted with medical control?

I will contact medical control and request permission to perform.... intervention and transport Signup and view all the answers

Study Notes

EMT Medical Assessment Overview

BSI (Body Substance Isolation): First step ensuring the scene is safe.

Scene Size Up

Assess nature of illness and number of patients.
Request Advanced Life Support (ALS) if necessary.
Consider C-spine stabilization for potential spinal injuries.

Primary Survey

Form a general impression of the patient; if poor, indicate urgency.

Introduction to Patient

Introduce yourself courteously with your name and organization. Offer assistance.

Initial Patient Assessment

Ask three key questions for orientation: name, time, and location.
Determine patient's alertness and orientation by stating "A and O".

Chief Complaint

Ask why assistance was requested to identify the chief complaint.
Document the chief complaint in clear terms.

Airway Assessment

If the patient is talking, the airway is clear.
If not talking, have a partner open the airway for further assessment.

Breathing Assessment

Check the patient's breathing and apply a Non-Rebreather Mask (NRB) if necessary.

Circulation Evaluation

Expose the chest for examination and control any major bleeding.
Treat profuse bleeding immediately.

Pulse and Skin Assessment

Monitor the patient's pulse alongside skin condition (color, temperature).

Patient Covering

Ensure dignity by covering the patient; also assist in treating for shock.

Transport Priority

Identify and categorize the patient as high priority for rapid transport.

OPQRST Patient History Assessment

Onset: Determine activities when symptoms began.
Provocation: Identify possible triggers for the symptoms.
Quality: Have the patient describe their pain.
Radiation: Ask if pain spreads to other areas.
Severity: Rate pain on a scale of 1 to 10.
Time: Inquire about the duration and changes in pain.

Past Medical History - AMPLE

Allergies: Check for any allergies.
Medications: Inquire about current medications.
Past medical history: Collect information on previous health issues.
Last oral intake: Document when and what the patient last consumed.
Events leading to illness: Assess the patient’s overall feelings and changes experienced.

Physical Examination Focus

Conduct a physical exam concentrating on affected parts/systems only.

Systematic Assessments

Respiratory: Check for DCAP BTLS (Deformities, Contusions, Abrasions, Penetrations, Burns, Tenderness, Lacerations, Swelling) and evaluate lung sounds.
Cardiovascular: Inspect for DCAP BTLS, listen to lung sounds, and look for jugular vein distention (JVD) and edema.
Neurological: Utilize FAST (Face, Arms, Speech, Test) components for stroke assessment.

Vital Signs and BERPS

Record baseline vital signs: Blood pressure, Eyes (Pupil Response), Respirations, Pulse, and Skin assessment including Oxygen saturation.

Field Impression

Formulate a concise field impression of the patient’s condition.

Interventions

Communicate with medical control to obtain permission for interventions and prepare for transport.

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Description

Test your knowledge of EMT medical assessments with these flashcards. Each card covers essential steps such as scene safety, primary surveys, and patient introductions. Perfect for students or professionals looking to refresh their skills.