Med Staff Tap

Initial Assessment Steps

1. Safety

2. Level of Consciousness

3. Call 911

4. ABCs

Levels of Consciousness

AVPU

AVPU stands for

Alert, Verbal, Pain, Unresponsive

Four Questions for Patient

1. What is your name?

2. Where are you at?

3. What day of the week is it?

4. Who is the president?

When to call 9-1-1

1. Unresponsive

2. Responds only to painful stimuli

3. Altered mental status

Airway

Is the patient's airway clear?

Breathing

1. Observe chest rise and fall.

2. Observe body position.

3. Listen for wheezing.

If person has difficulty breathing and is awake

Help them remain calm and coach their breathing.

If a person is unconscious and not breathing

Rescue breaths with pocket mask

Circulation-Abnormal Skin

Dry, clammy, pale, cyanotic, red, yellow

For patient with no pulse

1. Verbal: Are you ok?

2. Painful: Shoulder pinch or sternum rub

3. Resources: Direct someone to call 911. Direct someone to get an AED.

4. Check pulse: Carotid artery

5. CPR: Start CPR and activate AED usage.

CPR-how many compressions per minute?

100

CPR-depth of compressions

1/3 depth of chest or 2 inches

CPR-What to look for

Look for full chest recoil

Signs of a diabetic emergency

Changes in level of consciousness, changes in mood, rapid breathing and pulse, feeling and looking ill, dizziness and headache, confusion.

Signs of cardiac emergency

Crushing, stabbing pain that may radiate to arms, back, or neck

For Panic Attacks

1. Put patient in quiet place with minimal noise.

2. Maintain a calm and collected voice.

3. Coach breathing.

4. Grounding techniques and muscle relaxation.

For alcohol/drug/opioid poisoning

1. Call EMS immediately.

2. Ask alertness questions if patient is conscious.

3. Put in recovery position.

4. Keep patient warm.

Indicators of opioid overdose

Pinpointed pupils

Heat Exhaustion Symptoms

1. Faint/dizzy

2. excessive sweating

3. Cool, pale, clammy skin

4. Rapid, weak pulse

5. Muscle cramps

Heat exhaustion treatment

1. Get them to a cool, air conditioned place

2. Give them water if conscious

3. have them take a cool shower or use cold compresses

Heat Stroke Symptoms

1. Throbbing headache

2. no sweating

3. Read, hot, dry skin

4. Rapid, strong pulse

5. may lose consciousness

Heat stroke treatment

call 9-1-1