Initial Medical Care and Patient Assessment
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Questions and Answers

What is the primary objective during the initial assessment phase of patient care?

  • To perform a detailed medical history
  • To provide medication treatments
  • To ensure circulation and control hemorrhage (correct)
  • To determine the patient's history

Which of the following is NOT part of the initial assessment for a patient?

  • Assessing level of consciousness
  • Establishing an airway
  • Evaluating breathing
  • Taking blood pressure readings (correct)

What does a score of '4' indicate on the Eye Opening scale during patient assessment?

  • Eye opening to pressure
  • No eye opening
  • Eye opening to voice (correct)
  • Spontaneous eye opening

Which protective gear should prehospital providers use when there is a risk of blood exposure?

<p>Fluid repellent gowns, masks, and goggles (B)</p> Signup and view all the answers

In the disability assessment of a patient, which response indicates that the patient is completely unresponsive?

<p>No verbal response (D)</p> Signup and view all the answers

What should prehospital personnel do if they find a child in need of assessment?

<p>Use a length-based Pediatric Tape or Chart (D)</p> Signup and view all the answers

What is the least responsive state on the Best Verbal Response scale?

<p>No verbal response (C)</p> Signup and view all the answers

Which action should be prioritized after establishing an airway in a prehospital setting?

<p>Assess circulation (A)</p> Signup and view all the answers

What is the highest score for the Best Motor Response according to GCS parameters?

<p>6 points (C)</p> Signup and view all the answers

When should you obtain a Pulse Oximeter value?

<p>Prior to oxygen delivery (C)</p> Signup and view all the answers

What should be done if a patient shows signs of nausea and is 4 years old or older?

<p>Consider Zofran 4mg ODT/IV x1 dose (D)</p> Signup and view all the answers

What must a physician certify before transporting a patient to a facility other than the closest hospital?

<p>That the benefits outweigh the risks (B)</p> Signup and view all the answers

How often should vital signs and other pertinent signs be rechecked?

<p>At least every 15 minutes (B)</p> Signup and view all the answers

What is the primary action to take if a patient's condition warrants it?

<p>Obtain IV access (A)</p> Signup and view all the answers

What is indicated for adult and pediatric patients experiencing nausea?

<p>Zofran 4mg ODT x1 dose (A)</p> Signup and view all the answers

What should be done if no radio contact can be established with the hospital?

<p>Begin intervention immediately (B)</p> Signup and view all the answers

Flashcards

Initial Assessment (ABCDEs)

The initial assessment in emergency medical care prioritizes establishing a patent airway, ensuring adequate breathing, controlling any bleeding, and assessing the patient's level of consciousness. This is often called the ABCDEs of assessment which helps to quickly stabilize the patient.

Purpose of Initial Assessment

The purpose of the initial assessment is to quickly identify and address any immediate life threats to the patient. These include problems with the airway, breathing, circulation, and level of consciousness.

Initial Assessment - Circulation

The initial assessment includes checking the patient's pulse, which gives an indication of their heart's ability to circulate blood.

Initial Assessment - Airway

In the initial assessment, securing an airway is crucial to ensure that the patient can breathe adequately. This can be achieved by using various techniques like opening the airway, ensuring the airway is clear of obstructions.

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Initial Assessment - Disability (Level of Consciousness)

During the initial assessment, assessing the level of consciousness is crucial. It helps evaluate the patient's mental and neurological status.

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Initial Assessment - Safety

The initial assessment should be conducted in a way that ensures safety for both the patient and the healthcare provider. Necessary precautions like the proper use of personal protective equipment (PPE) should be taken.

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Focused Assessment

Once the initial assessment has been completed, a more focused assessment involves a detailed examination of the patient's body, including vital signs, medical history, and the mechanism of injury.

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Purpose of Focused Assessment

The focused assessment helps to gather crucial information about the patient's condition. This includes vital signs like heart rate, blood pressure, and temperature; a review of their medical history; and an understanding of the event that led to the injury or illness.

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What is a Pulse Oximeter?

Pulse oximeter is a non-invasive medical device used to measure oxygen saturation in the blood. The reading is measured in percentage and indicates how much oxygen is being carried in the blood.

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What is the purpose of Oxygen Therapy?

Oxygen is an essential gas for human life. It is delivered to patients who need supplemental oxygen to improve their breathing and oxygen levels.

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List two common methods of oxygen delivery.

Nasal cannula and face masks are two common methods of oxygen delivery. They are used to provide a constant flow of oxygen to the patient.

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What is the Semi-Fowler's position?

Semi-Fowler's position is a semi-reclined position where the head of the bed is raised to 30-45 degrees. This position helps to improve breathing and circulation.

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What is Zofran used for?

Zofran is a medication used to prevent and treat nausea and vomiting. It is available in oral dissolving tablet (ODT) and intravenous (IV) formats.

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What are vital signs and list some examples?

Vital signs are measurements that reflect a person's basic bodily functions. Common vital signs taken in an emergency include: Heart rate, blood pressure, temperature, respiratory rate, and pain level.

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What is a 12-lead ECG?

A 12-lead ECG is a test that measures the electrical activity of the heart. It provides a more comprehensive picture of heart functions compared to a single-lead ECG.

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What is a saline lock?

A saline lock, also known as an IV lock, keeps an IV line open for continuous medication or fluid administration.

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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.

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