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?

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

What are the three questions to ask a patient?

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

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

<p>My patient is alert and orientated times...</p> Signup and view all the answers

What should the EMT ask regarding the chief complaint?

<p>Why did you call us today?</p> Signup and view all the answers

What is the patient's chief complaint?

<p>My patient's chief complaint is...</p> Signup and view all the answers

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

<p>My patient is talking to me so the airway is clear</p> Signup and view all the answers

What should be done if the patient is not talking?

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

What should be assessed regarding breathing?

<p>I will check breathing</p> Signup and view all the answers

What action is taken for breathing at 15 LPM?

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

What should be done if the patient tolerates treatment?

<p>Move to circulation</p> Signup and view all the answers

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

<p>Try another oxygen delivery device</p> Signup and view all the answers

What does the circulation assessment involve?

<p>Exposing chest to scan the body and control any major bleeding</p> Signup and view all the answers

What should be done if there is profuse bleeding?

<p>Treat injury immediately</p> Signup and view all the answers

What to check if there is no bleeding?

<p>Move to checking patient's pulse</p> Signup and view all the answers

What should the EMT do regarding pulse?

<p>I will check my patient's pulse</p> Signup and view all the answers

What skin characteristics should be assessed?

<p>Assessing patient's skin color, condition, and temperature</p> Signup and view all the answers

Why is covering the patient important?

<p>Covering my patient for dignity purposes and to treat for shock</p> Signup and view all the answers

What indicates a high priority for transport?

<p>My patient is a high priority for transport</p> Signup and view all the answers

What does OPQRST stand for in patient assessment?

<p>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</p> Signup and view all the answers

What to ask regarding the onset of pain?

<p>What were you doing when this started?</p> Signup and view all the answers

What should be asked about pain provocation?

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

What question should be asked regarding pain quality?

<p>Can you describe it for me?</p> Signup and view all the answers

What should the patient be asked regarding pain radiation?

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

What severity scale should the patient use?

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

What to ask about the time when the pain started?

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

What intervention options should be discussed?

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

What does AMPLE stand for in patient history?

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

What should the EMT ask regarding allergies?

<p>Are you allergic to anything?</p> Signup and view all the answers

What medication-related question should be asked?

<p>What medications do you take?</p> Signup and view all the answers

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

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

What to ask regarding last oral intake?

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

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

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

What does the physical exam focus on?

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

What should be assessed in the respiratory evaluation?

<p>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</p> Signup and view all the answers

What should be assessed in the cardiovascular evaluation?

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

What does the neurological assessment involve?

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

What vital signs are included in the baseline assessment?

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

What is the field impression of a patient?

<p>The field impression of my patient is...</p> Signup and view all the answers

What intervention should be contacted with medical control?

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

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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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