HM PQS Section 104 Military Medical Exam Fundamentals (Updated 2022)with complete solution

HM PQS Section 104 Military Medical Exam
Fundamentals (Updated 2022)with complete solution
How to do Primary Assessment
1. Scene Size Up: BSMNAC
• BSI
• Scene Safety
• Determine MOI/NOI
• Number of patients
• Additional Assistance if necessary
• C-Spine precautions
2. Primary Survey
• General impression
• LOC (AVPU)
• Determine chief complaint
4. ABC/CAB Shock
• ABC/CAB
- Treat life threatening inj as found
• Treat for shock
• Determine patient priority
8. Obtain SAMPLE
• Symptoms
• Allergies
• Meds
• Pertinent Med Hx
• Last oral intake
• Event(s) leading to inj/ill
Scene Size Up (BSMNAC)
B: BSI
S: Scene Safety
M: Determine MOI/NOI
N: Number of patients
A: Additional Assistance if necessary
C: C-Spine precautions
SAMPLE Acronym Stands For
S: Symptoms
A: Allergies
M: Meds
P: Pertinent Med Hx
L: Last oral intake
E: Events leading to inj/ill
How to do Secondary Assessment
1. DCAP-BTLS head to toe
• Deformities
• Contusions

, • Abrasions
• Penetrating Woounds
• Burns
• Tenderness
• Lacerations
• Swelling
2. Treat non life threatening inj
3. Obtain vitals
4. Manage injuries
5. Reassess & verbal report
P-MARCH-P Acronym Stands For
P: Patient/Provider Safety
M: Massive Hemorrhage
A: Airway
R: Respirations
C: Circulation
H: Head Trauma/Hypothermia
P: Pain Management
DCAP-BTLS Acronym Stands For
D: Deformities
C: Contusions
A: Abrasions
P: Penetrating Wounds
B: Burns
T: Tenderness
L: Lacerations
S: Swelling
Normal Baseline Vitals
Resp Rate: 12 - 20 RR
Pulse: 60 - 100 BPM
Blood Press: 90/60 mm Hg - 120-80 mm Hg
Temp: 97.8 °F - 99.9 °F
• Fever: 101.9 °F
Pulse Ox: 95%
Pain: 0/10
Factors that infuence vitals
• Age
• Meds
• Environment
• Last oral intake
• Gender
• Lifestyle
• Ethnicity
• Stress / anxiety
How to Take Orthostatic Blood Pressure
1. Patient lie down for 5 min