Podcast
Questions and Answers
What does the acronym AVPU stand for in patient assessment?
What does the acronym AVPU stand for in patient assessment?
Airway assessment is done after circulation assessment in the primary assessment.
Airway assessment is done after circulation assessment in the primary assessment.
False
What does SAMPLE stand for in the context of patient history?
What does SAMPLE stand for in the context of patient history?
Signs and symptoms, Allergies, Medications, Past pertinent history, Last oral intake, Events leading up to injury
During the primary assessment, you should expose the patient if necessary to check for life _____ .
During the primary assessment, you should expose the patient if necessary to check for life _____ .
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Match the following assessment components with their definitions:
Match the following assessment components with their definitions:
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What is the normal pulse rate for an adult?
What is the normal pulse rate for an adult?
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A patient with a capillary refill time of more than 2 seconds may indicate circulatory issues.
A patient with a capillary refill time of more than 2 seconds may indicate circulatory issues.
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What does the 'R' in OPQRST stand for?
What does the 'R' in OPQRST stand for?
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Study Notes
Patient Assessment Study Notes
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Scene Size Up:
- Scan the scene and ask questions like: Who is involved? What happened? Where did it occur? How many people are affected? Do I need assistance? Identify scene safety hazards.
- Assess for biohazards (BSI).
- Determine number and location of patients.
- Identify mechanism of injury (MOI) or nature of illness (NOI).
- Check for potential spinal cord injury (C-spine). Stabilize the head if indicated until proper immobilization (e.g., backboard). Request assistance.
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Primary Assessment:
- General impression: First overall view of patient's appearance and behavior.
- AVPU: Alert, Verbal, Pain, Unresponsive - assess level of consciousness. Obtain consent.
- Chief Complaint (C/C): Patient's reason for calling, focusing on most pressing issue. Identify and address life threats.
- Expose patient as needed for assessment.
- Determine patient priority and decide on transport method (e.g., rapid transport, prompt (as needed), or standard transport).
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ABCs:
- Airway: Open or clear? Maintain open airway with head tilt-chin lift; if not, use suction, OPA (oral), or NPA (nasal) airways.
- Breathing: Assess respiratory rate (12-20 breaths/min for adults), rhythm (regular or irregular), quality (labored, constricted, wheezing), and SpO2 (95-100%). Provide oxygen via N/C, NRB, or BVM as needed (most to least efficient).
- Circulation: Assess pulse rate (adult 60-100 bpm, child 70-150 bpm, infant 100-160 bpm), rhythm, quality (strong, weak, thready, bounding). Check capillary refill (2-3 seconds). Monitor blood glucose (BGL) 70-130 mg/dL. Evaluate skin color, temperature, and moisture (pink, warm, dry). Monitor blood pressure (BP).
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Focused History and Physical Exam:
- AMPLE History: Allergies, Medications, Past medical history, Last Oral Intake, Events leading up to incident.
- Pain Assessment (OPQRST): Onset, Provocation, Quality, Region/Radiation, Severity (1-10 scale), Timing.
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Secondary Assessment:
- DCAP-BTLS: Deformities, Contusions, Abrasions, Punctures, Burns, Tenderness, Lacerations, Swelling.
Additional Information
- Sample History: Includes questions in AMPLE method.
- Rapid Transport (L/S): Urgent, life-threatening conditions.
- Prompt Transport (L/S PRN): Potentially serious conditions.
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Description
This quiz covers crucial concepts in patient assessment including scene size up and primary assessment techniques. It focuses on identifying key assessments, such as AVPU and mechanisms of injury. Enhance your knowledge of emergency care protocols with this informative quiz.
