NREMT Patient Assessment (trauma)

1. First thing you say

BSI, is my scene safe? (verbalizes putting on PPE/gloves)

2. Scene size up (5 things)

• Determines if scene is safe (aka first thing said)

• MOI/NOI

• # of patients

• Requests additional EMS assistance if needed

• Considers spinal precautions

3. Primary Assessment

• Verbalizes general impression of patient

• determines LOC (Alert, Verbal, Pain, Unresponsive)

• Determines Chief complaint and life threats

• Airway (opens and assesses airway/ insert breathing tubes if needed) Breathing( present and stable?, oxygen therapy, adequate ventilation, manages any injury that may compromise breathing) Circulation (checks pulse, assesses skin color/temp/condition, major bleeding, shock management (if cold give heating blanket)

4. Patient Priority

Determining if high or low? Stay on Scene or go to hospital?

5. History Taking

-Obtains baseline vital signs (BP, P, R

-if conscious, obtain Signs/ symptoms, Allergies, Medications, Past Medical History, Last oral intake and Events leading up to injury

6. Secondary Assessment

Head: Inspects and palpates scalp and ears for fluid, inspects nose and mouth and facial area, inspects eyes

Neck: Checks position of trachea, checks jugular veins, palpates the cervical spine

Chest: Inspects the chest, palpates chest and auscultates chest

Abdomen/pelvis: Inspects and palpates abdomen

and verbalizes genitalia and perineum

Lower Extremities: inspects and palpates motor, sensory and distal circulatory functions *PULSE* (leg)

Upper Extremities: Inspects and palpates motor sensory and distal circulatory functions (arm)

Posterior thorax, lumbar and buttocks: Inspects and palpates posterior thorax, Inspects and palpates lumbar and posterior buttocks

7. Manage any secondary wounds if necessary

8.Ressassement

Determine when and how to reassess patient (ex: every 15 or 5 minutes)