medical assessment TSOP (north Carolina)

first step

PPE

scene size up

“is the scene safe, what do i see, smell, hear, taste, feel?”

“MOI/NOI”

“is this my only patient/this is my only patient”

“start or dont start als/fire/law”

“is c spine intact/ start c spine if necessary”

primary assessment

XABC (immediate life danger)

AVPU “are they responsive to my voice, pain,or are they unresponsive”

chief complaint

stay and play or load and go

SAMPLE

Signs and Symptoms, Allergies, Medications, Past medical history, and Last oral intake.

OPQRST

Onset, Provocation, Quality, Radiation, Severity, Time

head to toe secondary assessment

decap-btls (deformities, contusions, abrasions, punctures, burns, tenderness, lacerations, swelling)

vitals

BP, radial pulse, respiratory rate and quality

impression of patient

intervention/treatment