Loyola System Entry Exam (Region VIII) - BLS
Study online at https://quizlet.com/_hpsrnd
1. Radio Report Order: -agency name, unit number/call sign, desired destination (if different than hospital
being contacted), level of care being provided
-patient age, sex, approx. weight
-LOC and orientation (GCS)
-Chief complaint/primary impression, symptoms, MOI/NOI, pertinent scene info, pertinent negatives/associated com-
plaints
-vital signs: BP, HR, RR, SpO2, temperature, pain score 0-10 (Wong Baker)
-Cincinnati Stroke Scale/NIH Stroke Scale findings
-Last known well
-Blood glucose level
-Pupils, lung sounds, skin parameters, history, medications, allergies
-Interventions, medications given, disposition
-Destination, ETA
2. General Patient Assessment: Initial Assessment:
-Scene safety/PPE
-ABCs/C-spine: airway (establish and maintain), breathing (assess, assist or provide ventilations, assess lung sounds),
circulation (check pulse, control hemorrhage)
-AVPU
-expose/examine
-priority transport
Focused history and physical exam
-SAMPLE (Signs/symptoms, systematic head-to-toe, GCS; allergies; medications; pertinent medical history; last oral
intake/menstrual period; events leading to)
-initial vital signs
-pain 0-10 scale
Detailed physical exam
Ongoing assessment - reassess ABCDs
3. Most adult SMOs include: -AIMC or PIMC
-AITC or PITC
-don't do anything if contraindicated
, Loyola System Entry Exam (Region VIII) - BLS
Study online at https://quizlet.com/_hpsrnd
-Refer to other SMOs as needed
-transport, support ABCs, keep warm
-when in doubt contact MD
4. Considerations for patients with special healthcare needs: Be aware of situation and
equipment and utilize resources such as caregivers/family
5. Streamlined BLS communication: -Name and vehicle number of provider
-Patient age and gender
-Chief complain/MOI
-SMO being followed
-Any deviation from SMO or unusual circumstance
-ETA
6. Load-and-go situation: -When needing hospital care for patient stability
-May need to omit/adapt SMO based on own medical judgment
-Document deviations thoroughly
-not implying speed of transport increases but emphasize rapid patient packaging and limited on-scene time
7. Withholding or withdrawing resuscitative efforts: -uncertainty = begin treating and contact
MD
-emotional support to significant others
8. Who can pronounce a patient dead?: ED physician
-document time in PCR
9. Power of attorney: -honor only if written POLST/DNR order signed by patient's attending practitioner is
presented
-other healthcare decisions may be made by POA if document allows
-bring all documents to hospital
10. Living Will/surrogates: -may not be honored; treat and contact MD
-no situation where surrogate can give direct instructions to EMS provider; treat, contact MD, explain
11. POLST/DNR orders/withholding treatment: -confirm validity of POLST/DNR order, call MD if
item is missing
-Must be a written document that hasn't been revoked
-Must include all needed components
-If valid: resuscitative efforts withheld and follow anything on order
-if valid and patient is not in cardiac or respiratory arrest with a decompensating condition: begin AIMC
, Loyola System Entry Exam (Region VIII) - BLS
Study online at https://quizlet.com/_hpsrnd
-If resuscitative efforts were begun prior to order being present, may withdraw effort once validity confirmed, contact
MD
-Illinois POLST form preferred, but accept those of other states/entities as long as minimum requirements met
12. Components validating a POLST/DNR order: NEEDS:
-name of patient
-resuscitation orders
-2 signatures
-evidence of consent (signature of patient, legal guardian, durable POA for health care agent, OR surrogate decision
maker under Illinois Health Care Surrogate Act)
-signature of attending pracitioner
-effective date
13. Obviously dead patients/"triple zero": -no resuscitative efforts initiated
-Non-breathing, pulseless, asystolic, and one or more of the following: decapitation, rigor mortis w/o hypothermia,
profound dependent lividity, decomposition, mummification/putrefaction, incineration, frozen state
-Contact MD if obviously dead but not listed above (indicate you have a "triple zero"
-Document pronouncement time and physician name
14. Hospice patients not in arrest: -Initiate BLS care and contact MD for orders
-Check for written treatment orders/valid POLST/DNR orders
15. Blunt traumatic arrest: -blunt trauma patient w/o vital signs upon arrival - can consider withholding
resuscitative efforts with MD approval
16. Emerging infectious disease guidance:
17. Adult Glasgow Coma Scale (GCS): Eye opening
-Spontaneous 4
-To voice 3
-To pain 2
-None 1
Verbal response
-Oriented 5
-Confused speech 4
-Inappropriate words 3
-Incomprehensible sounds 2
Study online at https://quizlet.com/_hpsrnd
1. Radio Report Order: -agency name, unit number/call sign, desired destination (if different than hospital
being contacted), level of care being provided
-patient age, sex, approx. weight
-LOC and orientation (GCS)
-Chief complaint/primary impression, symptoms, MOI/NOI, pertinent scene info, pertinent negatives/associated com-
plaints
-vital signs: BP, HR, RR, SpO2, temperature, pain score 0-10 (Wong Baker)
-Cincinnati Stroke Scale/NIH Stroke Scale findings
-Last known well
-Blood glucose level
-Pupils, lung sounds, skin parameters, history, medications, allergies
-Interventions, medications given, disposition
-Destination, ETA
2. General Patient Assessment: Initial Assessment:
-Scene safety/PPE
-ABCs/C-spine: airway (establish and maintain), breathing (assess, assist or provide ventilations, assess lung sounds),
circulation (check pulse, control hemorrhage)
-AVPU
-expose/examine
-priority transport
Focused history and physical exam
-SAMPLE (Signs/symptoms, systematic head-to-toe, GCS; allergies; medications; pertinent medical history; last oral
intake/menstrual period; events leading to)
-initial vital signs
-pain 0-10 scale
Detailed physical exam
Ongoing assessment - reassess ABCDs
3. Most adult SMOs include: -AIMC or PIMC
-AITC or PITC
-don't do anything if contraindicated
, Loyola System Entry Exam (Region VIII) - BLS
Study online at https://quizlet.com/_hpsrnd
-Refer to other SMOs as needed
-transport, support ABCs, keep warm
-when in doubt contact MD
4. Considerations for patients with special healthcare needs: Be aware of situation and
equipment and utilize resources such as caregivers/family
5. Streamlined BLS communication: -Name and vehicle number of provider
-Patient age and gender
-Chief complain/MOI
-SMO being followed
-Any deviation from SMO or unusual circumstance
-ETA
6. Load-and-go situation: -When needing hospital care for patient stability
-May need to omit/adapt SMO based on own medical judgment
-Document deviations thoroughly
-not implying speed of transport increases but emphasize rapid patient packaging and limited on-scene time
7. Withholding or withdrawing resuscitative efforts: -uncertainty = begin treating and contact
MD
-emotional support to significant others
8. Who can pronounce a patient dead?: ED physician
-document time in PCR
9. Power of attorney: -honor only if written POLST/DNR order signed by patient's attending practitioner is
presented
-other healthcare decisions may be made by POA if document allows
-bring all documents to hospital
10. Living Will/surrogates: -may not be honored; treat and contact MD
-no situation where surrogate can give direct instructions to EMS provider; treat, contact MD, explain
11. POLST/DNR orders/withholding treatment: -confirm validity of POLST/DNR order, call MD if
item is missing
-Must be a written document that hasn't been revoked
-Must include all needed components
-If valid: resuscitative efforts withheld and follow anything on order
-if valid and patient is not in cardiac or respiratory arrest with a decompensating condition: begin AIMC
, Loyola System Entry Exam (Region VIII) - BLS
Study online at https://quizlet.com/_hpsrnd
-If resuscitative efforts were begun prior to order being present, may withdraw effort once validity confirmed, contact
MD
-Illinois POLST form preferred, but accept those of other states/entities as long as minimum requirements met
12. Components validating a POLST/DNR order: NEEDS:
-name of patient
-resuscitation orders
-2 signatures
-evidence of consent (signature of patient, legal guardian, durable POA for health care agent, OR surrogate decision
maker under Illinois Health Care Surrogate Act)
-signature of attending pracitioner
-effective date
13. Obviously dead patients/"triple zero": -no resuscitative efforts initiated
-Non-breathing, pulseless, asystolic, and one or more of the following: decapitation, rigor mortis w/o hypothermia,
profound dependent lividity, decomposition, mummification/putrefaction, incineration, frozen state
-Contact MD if obviously dead but not listed above (indicate you have a "triple zero"
-Document pronouncement time and physician name
14. Hospice patients not in arrest: -Initiate BLS care and contact MD for orders
-Check for written treatment orders/valid POLST/DNR orders
15. Blunt traumatic arrest: -blunt trauma patient w/o vital signs upon arrival - can consider withholding
resuscitative efforts with MD approval
16. Emerging infectious disease guidance:
17. Adult Glasgow Coma Scale (GCS): Eye opening
-Spontaneous 4
-To voice 3
-To pain 2
-None 1
Verbal response
-Oriented 5
-Confused speech 4
-Inappropriate words 3
-Incomprehensible sounds 2
