Podcast
Questions and Answers
What are the components of secondary assessment?
What are the components of secondary assessment?
- Focused History (correct)
- Focused Physical Exam (correct)
- Complete Medical History
- Imaging Studies
What does focused hx stand for?
What does focused hx stand for?
SAMPLE
SAMPLE stands for S-signs & symptoms, A-_____, M- medications, P- past medical hx, L- last meal, E- events.
SAMPLE stands for S-signs & symptoms, A-_____, M- medications, P- past medical hx, L- last meal, E- events.
allergies
Match the components of SAMPLE with their definitions:
Match the components of SAMPLE with their definitions:
What does 'S' in SAMPLE refer to?
What does 'S' in SAMPLE refer to?
What types of allergies should be assessed?
What types of allergies should be assessed?
What information should be gathered about medications?
What information should be gathered about medications?
What does 'P' stand for in SAMPLE?
What does 'P' stand for in SAMPLE?
What information should be noted regarding the last meal?
What information should be noted regarding the last meal?
What does 'E' represent in SAMPLE?
What does 'E' represent in SAMPLE?
What should be considered during the focused physical exam?
What should be considered during the focused physical exam?
Study Notes
Secondary Assessment in PALS
- Components of Secondary Assessment: Involves focused history and focused physical exam.
Focused History
- SAMPLE Acronym: A systematic approach for gathering information during assessment.
SAMPLE Breakdown
- S - Signs & Symptoms: Essential observations at onset of illness, including:
- Breathing difficulty (cough, pain)
- Decreased level of consciousness (LOC)
- Agitation and anxiety
- Fever, decreased oral intake, diarrhea, vomiting
- Bleeding and fatigue
- Understanding the time course of symptoms is critical.
Allergies
- A - Allergies: Important to document allergies to:
- Medications
- Foods
- Latex and other substances
Medications
- M - Medications: Key information includes:
- Types of medications being taken
- Last dose and timing of administration
Past Medical History
- P - Past Medical History: Relevant health history includes:
- Significant conditions such as asthma, chronic lung disease, congenital heart disease, arrhythmias, congenital airway abnormalities, seizures, head injuries, brain tumors, diabetes, hydrocephalus, and neuromuscular diseases
- Previous symptoms and immunization history
Last Meal
- L - Last Meal: Important details involve:
- Timing of the last intake (liquid or food)
- Nature of the last meal consumed
Events Leading to Illness
- E - Events: Gather information on:
- Circumstances leading to current illness or injury
- Nature of the injury (gradual or sudden onset)
Focused Physical Exam
- Exam Characteristics:
- Severity of the illness dictates the thoroughness of the examination.
- Includes a careful assessment of the primary area of concern alongside a brief head-to-toe evaluation.
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Description
Test your knowledge on the components of secondary assessment in Pediatric Advanced Life Support (PALS). This quiz will cover focused history gathering using the SAMPLE acronym, as well as the importance of allergies, medications, and past medical history in critical situations.
