PATIENT ASSESSMENT & MANAGEMENT SKILL SHEET - 05JUN12

ACTION
SCENE ARRIVAL
Scene Safety
BSI before physical contact
Determines number of patients and LOR of each
Prioritizes/Disregards appropriately
Verbalizes general impression & special extrication/resources
Radios for assistance at appropriate time
PRIMARY ASSESSMENT & IMMEDIATE INTERVENTIONS
Introduction / Permission
Determines chief problem/complaint
Disarms altered/unconscious patient as soon as possible
Maintains spinal precautions as appropriate
Performs MARCH/BATS as soon as appropriate
Blood Sweep: Identifies, exposes, & controls major bleeding
Ensures open airway, or opens
Ensures adequate respiration, or ventilates/occludes
Ensures adequate pulse, or performs chest compressions
Keeps patient as warm as possible
Obtains initial set of vital signs
SECONDARY ASSESSMENT
Performs detailed head-to-toe exam & controls further bleeding
Chest
Lower ribs
Abdomen x 4 quadrants
Pelvis
Legs & CSM
Arms & CSM
Head/Neck/Shoulders
Back
Obtains SAMPLE from patient or bystander
Obtains second VS set & verbalizes trend meaning
MANAGEMENT
Determines treatment plan
Communicates evacuation plan to higher
Performs all necessary treatments and packaging
Obtains third VS set & verbalizes trend meaning
Face red, raise head; face pale, raise tail; face blue, breathe 2
ADMIN: LISTS BLOWOUT KIT CONTENTS
Tourniquet
Regular gauze to pack wound (H&H Compressed Gauze)
Hemostatic gauze (QuikClot Combat Gauze) (optional)
OPA/NPA to maintain open airway
Trauma Shears
White chemlight with lanyard for night illumination
Compression bandage (Israeli/Emergency)
Occlusive dressing (plastic bag acceptable)
Tape (to secure occlusive)
Space blanket (optional)