Patient Assessment Model - Scene Survey, Primary Assessment, Decision Point

Study the Patient Assessment Model from Scene Survey to Decision Point

What does the mnemonic HEMP RBC stand for?

Hazards, Environment, Mechanism of Injury, Patients - Resources, Barriers, Condition of Patient

What are the four Levels of Responsiveness?

Alert - Verbal - Pain - Unresponsive

What is the most important part of the pre-game?

Delegate one task to be performed on patient approach.

What is closed-loop communication?

A communication method that ensures understanding and confirmation between team members by having one person give information and another repeat it back to ensure accuracy.

If severe bleeding is noted on the approach of a patient, what action must be taken before anything else?

Control the bleeding by applying direct pressure to the wound or using a tourniquet if necessary.

What patient condition changes the order of ABC to CAB?

If the patient is unresponsive. Circulation must be evaluated first in order to maximize time-on-chest during a cardiac arrest.

How long should a Rapid Body Survey take during the Primary Assessment?

No more than one minute

What positions are best for a patient experiencing unobstructed respiratory distress?

Seated or Fowler’s

What action must be taken before manually opening the airway of an unresponsive patient?

Open the mouth to check for obstructions.

Opening the airway before checking for obstructions may create or worsen an obstruction.

What does the mnemonic SOAP stand for?

Skin - Oxygen - Adjuncts - Position

How long should the entire Primary Assessment take?

2-3 Minutes

What task should be delegated to another responder if the Mechanism suggests a spinal injury?

Manual stabilization of the head and neck.

Under no circumstances should the assessment of LOC and ABC’s be delayed because your patient may have a spinal injury.

How should you check the pulse of a responsive adult patient?

Palpating the Radial Pulse

How should you check the pulse of an infant or young child?

Palpating the Brachial Pulse

How should you check the pulse of an unresponsive patient?

Palpating the Carotid Pulse

What is the correct order of the Primary Assessment?

LOR - ABC - RBS - SOAP

What are you deciding at the Decision Point?

RTC or N-RTC

What is the maximum amount of time you should spend examining your patient’s pulse?

10 seconds

What three things are you checking when assessing a patient’s skin?

Colour, Temperature, Moisture

What two things are you checking when assessing a patient’s pulse?

Rate and Regularity

What must you do if you find your patient has no pulse?

Immediately begin CPR

What must you always obtain before touching a conscious patient?

Consent

What other things besides injuries and abnormalities should you be looking for during your Rapid Body Survey?

Medical Alert Bracelets or Pendants and Signs of Recreational Drug Use (trackmarks)

At what point in the Primary Survey should Critical Interventions be performed?

Immediately when life threats are found (during ABCs, RBS, or SOAP) Do not delay interventions until the end of the survey.