15: patient assessment & structure of a call

Scene Safety

PENMAN

Personal safety

Environmental Safety

Number of Patients

Mechanism of Injury / Nature of Illness

Additional resources needed?

Need for C-spine precautions

Primary Assessment

GMC

General Impression

Mental Status

Chief complaints

ABCD

Airway

Breathing

Circulation

Decision

Secondary Assessment: Medical

1. Vitals

2. SAMPLE

3. OPQRSTI

4. Secondary assessment of affected body system

5. Interventions

Secondary Assessment: Trauma

1. SAMPLE

2. OPQRSTI

3. DCAP-BTLS

4. Interventions

5. Vitals

Reassessment

Stable patients: Every 15 min

Unstable patients: Every 5 min

1. Vitals

2. Recheck findings / interventions / medications

3. Updates if possible

4. Transfer of care

SAMPLE

Signs (visible) / Symptoms (verbal)

Allergies

Medication

Past Medical History

Last oral intake

Events leading up to intake

OPQRSTI

Onset

Provocation

Quality

Radiation

Severity

Time

Interventions

DCAP-BTLS

Deformity

Contusions

Abrasions

Punctures

Burns

Tenderness

Lacerations

Swelling

AVPU

Alert

Verbally responsive

Painfully responsive

Unresponsive

A&O x4

Person

Place

Time

Events