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Questions and Answers
What is the primary goal of determining the mechanism of injury or nature of illness during scene assessment?
What is the primary goal of determining the mechanism of injury or nature of illness during scene assessment?
Why is it important to determine the number of patients during scene assessment?
Why is it important to determine the number of patients during scene assessment?
Why is it important to relay scene size-up information accurately and quickly?
Why is it important to relay scene size-up information accurately and quickly?
What is the first step in the scene size-up process?
What is the first step in the scene size-up process?
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What should you do if the scene is unsafe and you cannot make it safe?
What should you do if the scene is unsafe and you cannot make it safe?
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How do different scenes present different dangers?
How do different scenes present different dangers?
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What is the ultimate goal of the scene size-up process?
What is the ultimate goal of the scene size-up process?
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What is the primary component of scene size-up that involves assessing the risk of harm to responders and bystanders?
What is the primary component of scene size-up that involves assessing the risk of harm to responders and bystanders?
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What is the purpose of assessing the mechanism of injury or nature of illness during scene size-up?
What is the purpose of assessing the mechanism of injury or nature of illness during scene size-up?
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How many components are involved in the scene size-up process?
How many components are involved in the scene size-up process?
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What is the first step in assessing a scene?
What is the first step in assessing a scene?
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What is the primary purpose of the primary assessment?
What is the primary purpose of the primary assessment?
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What is the first step in assessing a patient?
What is the first step in assessing a patient?
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What is the primary purpose of assessing a patient's level of consciousness?
What is the primary purpose of assessing a patient's level of consciousness?
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What should you do if the patient is a criminal justice officer and their level of consciousness drops?
What should you do if the patient is a criminal justice officer and their level of consciousness drops?
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What is the most valuable tool for determining the LOC of an infant or child?
What is the most valuable tool for determining the LOC of an infant or child?
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What is the next step if you determine a patient is unresponsive?
What is the next step if you determine a patient is unresponsive?
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What is the purpose of performing a secondary assessment?
What is the purpose of performing a secondary assessment?
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What is the primary difference between a primary and secondary assessment?
What is the primary difference between a primary and secondary assessment?
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What is the key characteristic of a patient who is considered 'alert' according to the AVPU scale?
What is the key characteristic of a patient who is considered 'alert' according to the AVPU scale?
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A patient opens their eyes when you ask their name, but does not respond to verbal commands. How would you classify their level of consciousness using the AVPU scale?
A patient opens their eyes when you ask their name, but does not respond to verbal commands. How would you classify their level of consciousness using the AVPU scale?
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What is the primary characteristic of a patient who is verbally responsive?
What is the primary characteristic of a patient who is verbally responsive?
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What is the primary way to assess a patient's response to pain?
What is the primary way to assess a patient's response to pain?
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What is the primary indicator of an unresponsive patient?
What is the primary indicator of an unresponsive patient?
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In what order should the primary assessment be performed?
In what order should the primary assessment be performed?
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What is the primary purpose of the MARCH primary assessment?
What is the primary purpose of the MARCH primary assessment?
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What is the most critical step to take when assessing a patient with severe bleeding?
What is the most critical step to take when assessing a patient with severe bleeding?
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What is the primary indicator of a patient's ability to breathe?
What is the primary indicator of a patient's ability to breathe?
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What is the most common preventable cause of trauma-related deaths?
What is the most common preventable cause of trauma-related deaths?
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What is the purpose of assessing a patient's respirations?
What is the purpose of assessing a patient's respirations?
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What is the primary purpose of applying direct pressure to a wound?
What is the primary purpose of applying direct pressure to a wound?
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What is the key characteristic of a patient with severe bleeding?
What is the key characteristic of a patient with severe bleeding?
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What is the primary step in assessing a patient's airway?
What is the primary step in assessing a patient's airway?
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What is the purpose of assessing a patient's pulse?
What is the purpose of assessing a patient's pulse?
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What is the key step in assessing a patient's breathing?
What is the key step in assessing a patient's breathing?
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What is a sign of inadequate breathing?
What is a sign of inadequate breathing?
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What should you do if a patient is not breathing?
What should you do if a patient is not breathing?
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How do you assess for circulation in an unconscious adult or child?
How do you assess for circulation in an unconscious adult or child?
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What does a blue skin color indicate?
What does a blue skin color indicate?
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Why is it important to prevent hypothermia in trauma patients?
Why is it important to prevent hypothermia in trauma patients?
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What should you do to prevent hypothermia in a patient?
What should you do to prevent hypothermia in a patient?
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What is a possible concern in a patient with a head injury?
What is a possible concern in a patient with a head injury?
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What should you assess in a patient with a head injury?
What should you assess in a patient with a head injury?
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What can indicate poor circulation or death?
What can indicate poor circulation or death?
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What should you do if a patient's level of consciousness decreases?
What should you do if a patient's level of consciousness decreases?
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What is the purpose of the DOTS acronym in the secondary assessment?
What is the purpose of the DOTS acronym in the secondary assessment?
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What is indicated by the presence of wet clothing during the secondary assessment?
What is indicated by the presence of wet clothing during the secondary assessment?
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What is the purpose of comparing an injured body area to a similar, uninjured area during the secondary assessment?
What is the purpose of comparing an injured body area to a similar, uninjured area during the secondary assessment?
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What is indicated by a patient's grimace during the secondary assessment?
What is indicated by a patient's grimace during the secondary assessment?
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What is the purpose of the PMS acronym during the secondary assessment?
What is the purpose of the PMS acronym during the secondary assessment?
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What is indicated by the presence of raised skin during the secondary assessment?
What is indicated by the presence of raised skin during the secondary assessment?
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What should you do if you are unable to complete a secondary assessment?
What should you do if you are unable to complete a secondary assessment?
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What is the primary goal of the secondary assessment?
What is the primary goal of the secondary assessment?
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When should the secondary assessment be performed?
When should the secondary assessment be performed?
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What does the 'D' in the DOTS acronym represent?
What does the 'D' in the DOTS acronym represent?
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What is indicated by the presence of swelling during the secondary assessment?
What is indicated by the presence of swelling during the secondary assessment?
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What is the purpose of the PMS acronym during the secondary assessment?
What is the purpose of the PMS acronym during the secondary assessment?
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What does the 'T' in the DOTS acronym represent?
What does the 'T' in the DOTS acronym represent?
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Why is it important to carefully remove or cut open wet clothing during the secondary assessment?
Why is it important to carefully remove or cut open wet clothing during the secondary assessment?
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Study Notes
Scene Size-Up Components
- Scene size-up has four essential components: scene safety, mechanism of injury or nature of illness, the number of victims, and the need for more rescuers and special equipment.
Scene Safety
- Scene size-up begins as soon as you receive notice from dispatch or come upon the scene.
- Take an overall view of the scene, maintaining situational awareness.
- Pay attention to what you see, hear, smell, and feel to determine if the scene is safe to enter.
- If the scene is unsafe and you have no means to make it safe, do not enter.
- Possible dangers vary greatly, depending on the scene type, such as natural disasters, domestic violence calls, nuisance animal calls, and active threat/shooter incidents.
Mechanism of Injury or Nature of Illness
- Determine the mechanism of injury to the patient or the nature of the illness while assessing scene safety.
- Try to determine what happened and the patient's chief complaint.
- Understanding the mechanism of injury helps judge the extent of injury or illness.
- Identify whether you are dealing with a trauma patient (injured person) or a medical patient (ill person), as this determines the type of first aid or equipment needed.
Number and Location of Patients
- Determine the number of patients at the scene.
- Find out how many patients there are and where they are located.
- Question other patients, witnesses, or bystanders if needed, especially in situations like rollover car crashes where patients may be difficult to find.
- Prioritize care and triage patients depending on several factors when there are multiple patients.
Need for More Responders or Special Equipment
- Assess the need for more resources based on your local protocol and department policy.
- Relay a request for more resources by verbally transmitting all information gathered during your size-up.
- Provide details on overall scene safety, type and extent of injuries, number of patients, and the need for special units to assist.
- Quickly and accurately relay information to better prepare responding units for what they might encounter when they arrive on the scene.
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Description
Learn about the essential components of scene size-up in emergency response, including scene safety, mechanism of injury, number of victims, and need for more responders and special equipment. Understand how to assess the scene, determine the extent of injury or illness, and prioritize patient care.