general assessment nevada protocols

What is the first thing we do as EMS when we enter a scene with a patient

General Impression

WHAT ARE THINGS WE LOOK FOR IN OUR GENERAL IMPRESSION OF A PT

GENERAL AGE, GENDER, POSTURE, SCENE SIZE-UP

WHAT IS THE FIRST STEP IN THE PRIMARY ASSESSMENT OF A PT

AVPU

WHAT HAPPENS IF THE PATIENT IS NOT ALERT TO US

WE GIVE A VERBAL RESPONSE

IF THE VERBAL STIMULI FAILS TO WAKE UP THE PT WHAT DO WE MOVE TO

A PAINFUL STIMULI

WHAT IS THE PAINFUL STIMULI THAT WE CAN DO AS EMS

STERNUM RUBS, TRAP PINCH

IF THE PATIENT DOES NOT RESPOND TO ANY STIMULI THEN THEY ARE WHAT

UNRESPONSIVE

IF A PT IS UNRESPONSIVE WE SHOULD DO WHAT NEXT

CHECK FOR BREATHING AND PULSE WITH, LOOK, LISTEN, FEEL

IF A PT IS NOT BREATHING WHICH PULSE DOES EMS FEEL

CAROTID

IF A PT IS PULSELESS AND APANIC WHICH PROTOCOL IS STARTED

CARDIAC ARREST PROTOCOL

WHAT COMES AFTER CONFIRMING THE PATIENT IS ALERT

A BASLINE ORIENTATION DONE BY ASKING 4 QUESTIONS

WHAT ARE THE QUESTIONS FOR A&OX4

“WHAT IS YOUR NAME”

“WHERE ARE WE”

“WHAT IS THE MONTH AND YEAR”

“WHY DID YOU CALL 911”

IF THE PATIENT CAN ANSWER A&O QUESTIONS SUCCESSFULLY THEN WHAT DOES THAT INDICATE FOR THE AIRWAY

THE AIRWAY IS PATENT

WHAT TO BE DONE IF THE AIRWAY IS NOT PATENT

VENTILATION MANAGEMENT

AFTER AIRWAY IS PROVEN TO BE PATENT WHAT DO WE ASSESS IN EMS

BREATHING

WHAT SHOULD BE DONE IN BREATIHNG

FIX INADEQUATE OR RESPIRATORY DISTRESS

WHAT SHOULD BE CHECKED AFTER BREATHING IS ADEQUATELY DONE

CIRCULATION

WHAT SHOULD BE CHECKED IN CIRCULATION

BLEEDING

PULSE

SKIN

WHEN SHOULD BLEEDING BE IMMEDIATELY ADDRESSED

LIFE-THREATENING BLEEDING

WHAT DO WE CHECK IN A PULSE

THE RATE

RYTHME

QUALITY

WHAT IS A GOOD RATE FOR ADULTS IN HR

60-100

WHAT IS A GOOD HR IN PEDIATRICS (6-12 YRS OLD)

70-120 BPM

WHAT IS A GOOD HR IN 3-5 YR OLD PTS

80-140 BPM

WHAT IS A GOOD HR IN 1-3 YR OLD PTS

90-150

WHAT IS A GOOD HR IN INFANTS 1-12 MONTHS OLD

100-160

WHAT IS A GOOD HR FOR NEONATES OR 0-1 MONTHS OLD

120-180

WHAT DO WE CHECK FOR AFTER CIRCULATION IS COMPLETED AND ADEQUATE

DISABILITY/AMS

WHEN A PT IS ALTERED WHICH ACRONYM DO WE USE TO NARROW IT DOWN

AEIOU-TIPS

WHAT DOES THE A IN AEIOU-TIPS STAND FOR

ALCOHOL

WHAT DOES THE E IN AEIOU-TIPS STAND FOR

EPILEPSY

WHAT DOES THE I IN AEIOU-TIPS STAND FOR

INSULIN

WHAT DOES THE O IN AEIOU-TIPS STAND FOR

OVERDOSE/DRUG USAGE

WHAT DOES THE U IN AEIOU-TIPS STAND FOR

UREMIA/URINARY PROBLEMS

WHAT DOES THE T IN AEIOU-TIPS STAND FOR

TRAUMA

WHAT DOES THE SECOND I IN AEIUO-TIPS STAND FOR

INFECTION

WHAT DOES THE P IN AEIUO-TIPS STAND FOR

PSYCHIATRIC EPISODE

WHAT DOES THE S IN AEIUO-TIPS

STROKE/SHOCK

WHAT ARE THE CHOICES EMS HAS AFTER A PRIMARY ASSESSMENT

STAY AND PLAY AT THE SCENE (NON-EMERGENT)

TRANSPORT TO HOSPITAL AND CONTINUE ASSESSMENT EN ROUTE (EMERGENCY)

CALL FOR ALS