Mod. 1 - Overall Assessment Approch.docx

Narrative writing styles: - - - - - - - - - - - - Scene assessment is comprised of: 1. 2. 3. 4. 5. 6. Initial assessment: 1. 2. 3. 4. 5. 6. 7. The **initial assessment** is the most time-intensive portion of the assessment process and should be com...

Narrative writing styles: - - - - - - - - - - - - Scene assessment is comprised of: 1. 2. 3. 4. 5. 6. Initial assessment: 1. 2. 3. 4. 5. 6. 7. The **initial assessment** is the most time-intensive portion of the assessment process and should be completed in the first 60-90 seconds GCS score predictions: 15 = no neurological disabilities 13-14 = mild dysfunction 9-12 = moderate to severe dysfunction 3-8 = severe dysfunction Current health status elements: - - - - - - - - Three (3) mechanisms that produce ABD pain: 1. a. b. 2. c. d. 3. e. *Tilt-test*: Positive results - - - The rapid trauma assessment is used between the initial assessment and the focused physical examination Mental status evaluation: COASTMAP **C** - Consciousness **O** - Orientation **A** - Activity **S** - Speech **T** - Thoughts **M** - Memory **A** - Affect **P** - Perception Ongoing assessment elements: - - - - **Drug** - Any substance or mixture of substances manufactured, sold, or represented for use in: 1. 2. 3. Health Products and Food Branch (HPFB) is the branch of government that approves medication in Canada. Medication names: 1. a. 2. b. 3. c. Sources of medicine: 1. 2. 3. 4. Scheduled drugs: **Schedule I** - narcotics such as opium, heroin, morphine, and cocaine **Schedule II** - cannabis and cannabis resin **Schedule III** - stimulants such as amphetamines, and hallucinogens such as LCD **Schedule IV** - anabolic steroids, barbituates, benzodiazepineines **Schedule V** - Repealed **Schedule VI** - precursors that can be used to create other scheduled drugs **Schedule VII** - Repealed **Schedule VIII ​​**- Repealed **Schedule IX** - devices that can be used to create tablets or capsules 9 years is the average time it takes for a drug to be developed, tested, and approved New drugs must be tested in two (2) animal species before it may enter clinical trials Clinical trial phases: 1. a. 2. b. c. 3. d. e. 4. f. g. Pediatric assessment triangle: - - - Pediatric appearance features: **T** - Tone **I** - Interactiveness **C** - Consolability **L** - Look or gaze **S** - Speech or cry Stridor - obstruction at the level of the glottis - Grunting - obstruction in the lower airway and is a form of auto-PEEP - Wheezing - Constricted or blocked small airways - Pallor - initial sign of poor circulation, anemia or hypoxia Mottling - vasomotor instability in the capillary beds. It can also be a normal response to a cold environment Cyanosis - blue or purple discolouration of the skin and mucous membranes indicating poor perfusion or poor oxygenation Acrocyanosis - blue hands or feet in an infant less than 2 months old and is a normal finding when the infant is cold How to use a browslow tape: 1. 2. a. 3. 4. Skin CTC: - - - Children aged 1 - 10 minimum BP = 70 + (age x 2) Pediatric Resp rates: **Age** **Resp rate** **HR** **SBP** **DBP** ---------------------------- --------------- ---------- ----------- --------- Neonate (0 - 1 month) 30 - 60 90 - 160 67 - 84 35-53 Infant (1 month - 1 year) 30 - 53 90 - 160 72 - 104 37 - 56 Toddler (1 year - 2 years) 22 - 37 80 - 120 86 - 106 42 - 63 Preschool (3 - 5 years) 20 - 28 65 - 100 89 - 112 46 - 72 School-aged (6 - 12 years) 18 - 25 58 - 90 97 - 120 57 - 80 Adolescent (12 - 15) 12 - 20 50 - 90 110 - 131 64 - 83 Geriatric assessment tool: GEMS diamond **G** - Geriatric pt **E** - Environmental **M** - Medical assessment **S** - Social assessment PE triad: 1. 2. 3. Causes of delirium: **D** - Drugs or toxins **E** - Emotional/ electrolytes **L** - Low PaO2 **I** - Infection **R** - Retention of stool or urine **I** - Ictal state (seizures) **U** - Undernutrition or underhydration **M** - Metabolism **S** - Subdural hematoma Type of elder maltreatment: 1. 2. 3. 4. 5.