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B (BENAMES)
body substance isolation
1st E (BENAMES)
environmental hazards
N (BENAMES)
number of patients
A (BENAMES)
additional resources
M (BENAMES)
mechanism of injury (MOI) / nature of illness (NOI)
2nd E (BENAMES)
extrication
S (BENAMES)
spinal precaution
AVPU
determine lvl of consciousness / responsiveness (LOC)
A (AVPU)
Alert- notices ur presence
V (AVPU)
Verbal- notices u after u speak w/ them
P (AVPU)
Pain- notices u only after u gently squeeze trapezius
U (AVPU)
Unresponsive- doesn’t notice or react
A (ABC)
assess airway
B (ABC)
assess breathing
C (ABC)
assess circulation
GCS
Glasgow Coma Scale
Glasgow Coma Scale Section 1
eye opening response (4-1)
Glasgow Coma Scale Section 2
best verbal response (5-1)
Glasgow Coma Scale Section 3
best motor response (6-1)
8 or less on GCS
comatose client
3 on GCS
dead hooman
SAMPLE
used during secondary assessment
S (SAMPLE)
s/sx
A (SAMPLE)
allergies
M (SAMPLE)
medications
P (SAMPLE)
pertinent medical history
L (SAMPLE)
last oral intake/ last bowel movement
E (SAMPLE)
event leading up to illness/ injury
OPQRST
used for pain (general)
O (OPQRST)
onset (“what were u doing when this happened?”)
P (OPQRST)
provocation (“what makes it worst?” sitting, laying, standing)
Q (OPQRST)
quality (“can u describe how it feels like?”)
R (OPQRST)
radiation (“does this pain/discomfort move anywhere?”)
S (OPQRST)
severity (“on a scale of 1-10 how would u rate this?”)
T (OPQRST)
time (“how long has this been happening?”)
PASTE
used for pt’s w/ breathing issues
P (PASTE)
productive cough
A (PASTE)
associated chest pain
S (PASTE)
sputum production
T (PASTE)
talk tiredness
E (PASTE)
exercise tolerance/intolerance (“hypothetically, can u walk over there without falling?”)
AEIOU-TIPS
used for pt’s in altered lvl of consciousness (ALOC)
A (AEIOU-TIPS)
alcohol
E (AEIOU-TIPS)
epilepsy
1st I (AEIOU-TIPS)
insulin
O (AEIOU-TIPS)
overdose
U (AEIOU-TIPS)
uremia (kidney failure)
T (AEIOU-TIPS)
trauma
2nd I (AEIOU-TIPS)
infection
P (AEIOU-TIPS)
poison
S (AEIOU-TIPS)
shock, stroke
DCAP-BTLS
used for suspected physical trauma
D (DCAP-BTLS)
deformities
C (DCAP-BTLS)
contusions (bruising?)
A (DCAP-BTLS)
abrasions (scrapes?)
P (DCAP-BTLS)
puntures/penetrations
B (DCAP-BTLS)
burns
T (DCAP-BTLS)
tenderness
L (DCAP-BTLS)
lacerations
S (DCAP-BTLS)
swelling