CORRECT Answers
In the Primary Assessment what are the ABC'S A: Airway
B: Breathing
C: Circulation
S: Sever Bleeding
What does AVPU scale mean A: alert (eyes open, communication clear)
V: verbal stimulus (responds when spoken to may not be orientated)
P: painful stimulus (responds only to painful stimulus, eyes closed)
U: unresponsive (eyes closed, no response)
P.E.A.R.L Pupils. Equal. And. React to. Light
Common Causes of airway obstruction tongue falls into the back of the throat during unconsciousness
Duty to act 1. when a job description requires it
2. when a preexisting responsibility exists
3. when first aid has begun
consent 1. you must ask consent of a conscious victim; identify yourself and your training
2. consent is legally implied for: unconscious victim, one who is so badly injured
or ill that they cannot respond, minor or child or mentally/emotionally impaired
individual w/o a parent/guardian
abandonment terminating the care of an individual with out ensuring continued care at the same
or highter level
1. obligated to continue help until: victim revives, another trained person takes
over, EMS personnel arrive, scene becomes unsafe, you are too exhausted to
continue
negligence deviating from accepted standards of care that results in further injury of victim
1. factors: failure to act under "duty to act", breach of duty: act of omission/act of
commission, injury and damages inflicted by caregiver
2. stay with in scope of training
confidentiality law recognizes right to privacy
make sure you have a witness to the granting of consent
, protocol for checking unconscious patient 1. check scene
2. check for responsiveness (tap and shout)
3. if you are alone and need to leave; position in left later recumbent or Haines
position
4. call ems
5. open airway
6. check for movement, breathing, pulse (NO MORE THAN 10 SECONDS)
7. 2 consecutive breaths
8. severe bleeding
9. begin care
Secondary Assessment H: History
H.O.P.S O: Observation
P: Palpation
S: special test
S.A.M.P.L.E S: Signs and Symptoms
A: allergies
M: medications
P: pertinent past med. history
L: last oral intake
E: events prior to incident
D.O.T.S D: deformity
O: open wounds
T: tenderness
S: swelling
C.S.M C: circulation
S: sensation
M: movement
checking a conscious patient 1. evaluate scene/consent
2. note level of consciousness (AVPU)
3. ask questions/ call EMS
4. use SAMPLE, HOPS, DOTS
5. check vital signs/ temp and skin appearance
6. PEARL
7. check neck and shoulders, chest, abdomen
8. pelvic both anterior and posterior
9. check arms/hips/legs
10. care for conditions, treating most serious first
Signs and Symptoms of respiratory distress restless, confusion, combativeness
strained facial muscles
retracked neck muscles
nostril flare
noises from airway
diminished speech
retraction of intercostal muscles/greater use of abs
chest deformity/pains
numbness in hands and feet
cyanosis