Podcast
Questions and Answers
What is the primary objective during the initial assessment phase of patient care?
What is the primary objective during the initial assessment phase of patient care?
Which of the following is NOT part of the initial assessment for a patient?
Which of the following is NOT part of the initial assessment for a patient?
What does a score of '4' indicate on the Eye Opening scale during patient assessment?
What does a score of '4' indicate on the Eye Opening scale during patient assessment?
Which protective gear should prehospital providers use when there is a risk of blood exposure?
Which protective gear should prehospital providers use when there is a risk of blood exposure?
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In the disability assessment of a patient, which response indicates that the patient is completely unresponsive?
In the disability assessment of a patient, which response indicates that the patient is completely unresponsive?
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What should prehospital personnel do if they find a child in need of assessment?
What should prehospital personnel do if they find a child in need of assessment?
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What is the least responsive state on the Best Verbal Response scale?
What is the least responsive state on the Best Verbal Response scale?
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Which action should be prioritized after establishing an airway in a prehospital setting?
Which action should be prioritized after establishing an airway in a prehospital setting?
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What is the highest score for the Best Motor Response according to GCS parameters?
What is the highest score for the Best Motor Response according to GCS parameters?
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When should you obtain a Pulse Oximeter value?
When should you obtain a Pulse Oximeter value?
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What should be done if a patient shows signs of nausea and is 4 years old or older?
What should be done if a patient shows signs of nausea and is 4 years old or older?
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What must a physician certify before transporting a patient to a facility other than the closest hospital?
What must a physician certify before transporting a patient to a facility other than the closest hospital?
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How often should vital signs and other pertinent signs be rechecked?
How often should vital signs and other pertinent signs be rechecked?
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What is the primary action to take if a patient's condition warrants it?
What is the primary action to take if a patient's condition warrants it?
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What is indicated for adult and pediatric patients experiencing nausea?
What is indicated for adult and pediatric patients experiencing nausea?
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What should be done if no radio contact can be established with the hospital?
What should be done if no radio contact can be established with the hospital?
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Study Notes
Initial Medical Care/Routine Cardiac Care Protocol
- Prehospital providers must ensure scene safety and follow precautions to prevent exposure to blood/body fluids.
- Patient care starts at the "bedside."
- Pediatric dosages use length-based charts.
General Patient Assessment
- Circulation: Assess pulse and control hemorrhage if needed.
- Airway: Establish and maintain airway, including cervical spine control if required.
- Breathing: Assist ventilation if necessary.
- Disability (Level of Consciousness): Check responsiveness using alert, verbal, pain, or unresponsive levels.
- Pain: Responsiveness to painful stimuli.
- Focused Assessment: Vital signs and Glasgow Coma Scale (GCS) parameters; systematic head-to-toe assessment; medical history.
- Eye Opening: Spontaneous eye opening (4 points), voice (3 points), pressure (2 points), none (1 point).
- Best Verbal Response: Oriented (5), confused (4), inappropriate words (3), incomprehensible sounds (2 points), no verbal response (1 point).
- Best Motor Response: Obeys simple commands (6), localizes pressure (5), flexion withdrawal (4), abnormal flexion (3), abnormal extension (2), no motor response (1 point).
Initial Medical Care/Routine Cardiac Care Procedures
- Comfort patient by loosening clothing and placing in a comfortable position.
- Obtain pulse oximetry reading before oxygen administration.
- Provide oxygen via nasal cannula (2-6L) or mask (12-15L), unless otherwise directed.
- Assess cardiac rhythm if indicated, including 12-lead ECG if available.
- Initiate intravenous (IV) access (saline lock or normal saline) when warranted, up to two attempts.
- Administer Zofran (4mg ODT/IV) for nausea in adults and pediatrics over 4 years old.
- Communicate with the hospital and await orders.
- Recheck vitals every 15 minutes and record.
- Transport to appropriate facility; if patient refuses or if necessary, transport to a facility other than nearest facility is permitted by physician.
- Document patient behaviors impacting assessment.
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Description
This quiz covers essential protocols for initial medical care and routine cardiac care, emphasizing scene safety and effective patient assessment techniques. Participants will explore key concepts related to circulation, airway management, and overall patient evaluation, including the use of the Glasgow Coma Scale and vital signs assessment.
