Questions and Answers
What does SAMPLE history include?
What are signs in medical terms?
Observed and measurable data about the patient, such as vital signs.
What are symptoms?
What the patient describes, such as pain or numbness.
What does OPQRST stand for?
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What is meant by 'Onset'?
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What does 'Provocation or Palliation' refer to?
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How can quality of pain be described?
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What is included in 'Region and Radiation'?
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What does 'Severity' refer to?
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What question do we ask about 'Time'?
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What are allergies in a medical context?
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What information do we gather about medications?
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What constitutes pertinent past history?
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What do we ask about last oral intake?
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What questions are relevant for events leading up to the injury or illness?
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Study Notes
SAMPLE History
- A method to gather medical history from patients, their families, and bystanders.
- Components include Allergies, Medications, Pertinent Past History, Last Oral Intake, and Events leading up to the injury or illness.
- Important to document findings on the Prehospital Care Report (PCR).
Signs
- Observable and measurable patient data, such as vital signs.
Symptoms
- Subjective experiences reported by the patient, like pain or numbness.
- Can be assessed using the OPQRST method.
OPQRST
- Acronym for assessing symptoms:
- Onset: When did it start?
- Provocation or Palliation: What makes it worse or better?
- Quality of Pain: How can the pain be described?
- Region and Radiation: Exact location of the pain and if it radiates.
- Severity: Rate the pain on a scale of 1 to 10.
- Time: Duration and progression of symptoms.
Onset
- Questions to determine activities at the time symptoms began.
Provocation or Palliation
- Inquiry about factors that exacerbate or relieve symptoms.
Quality of Pain
- Asking for descriptions of pain (sharp, dull, constant, intermittent).
Region and Radiation
- Questioning the specific location of pain and whether it spreads elsewhere; significant for conditions like myocardial infarction.
Severity
- Rating pain intensity on a scale from 1 to 10.
Time
- Understanding duration and the progression of symptoms over time.
Allergies
- Includes reactions to medications, food, or environmental factors.
- Check for medical alert tags for critical information.
Medications
- Queries about current medications, recent intake, and any herbal or recreational drugs.
- Ensure the patient knows it's for treatment purposes and not law enforcement.
Pertinent Past History
- Inquiry about any previous illnesses, hospitalizations, or surgical procedures to understand the patient's health background.
Last Oral Intake
- Asking about the last food or drink consumed to evaluate conditions like hypoglycemia, especially in diabetics.
Events Leading Up to the Injury or Illness
- Seeking details about circumstances surrounding the incident to identify underlying causes.
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Description
Explore the methods of gathering patient medical history and understanding their signs and symptoms. This quiz focuses on the importance of documenting findings and utilizing the OPQRST assessment method effectively. Enhance your prehospital care skills through this comprehensive assessment of essential patient information.
