ASSESSMENT of the MEDICAL PATIENT
The Emergency Medical Care for the patient by the EMT is base upon assessment findings. In the history and physical exam, the EMT will concentrate on the patient’s complaint and history, allowing for rapid Emergency Medical Care.
MEDICAL ASSESSMENT
- Don’t Forget the Basics
- Scene Safe?
- Is Your BSI On?
- Is ALS On the Way
- How Many Patients?
MEDICAL ASSESSMENT
Responsive
or
Unresponsive
MEDICAL ASSESSMENT
- Focused History & Physical Exam of the Responsive Patient
- Steps
- History of Present Illness
- **Administer O2 15L NRB Mask**
- SAMPLE History
- Focused Physical Exam
- Baseline Vital Signs
MEDICAL ASSESSMENT
- History of the Present Illness
- Questions to Have Answered
- O = Onset
- P = Provoke / Provocation
- Q = Quality
- R = Radiation
- S = Severity
- T = Time
MEDICAL ASSESSMENT
- SAMPLE History
- S = Signs & Symptoms
- A = Allergies
- M = Medications
- P = Past Medical History
- L = Last Oral Intake
- E = Events
MEDICAL ASSESSMENT
- Sources of Information
- Patient First
- Family
- Friends
- Bystanders
MEDICAL ASSESSMENT
- Chief Complaint & Certain Pre-Existing Medical Conditions May Allow For Further Treatment
- In the Following Cases, Get Additional Information:
MEDICAL ASSESSMENT
- Chest Pain
- Does the Pt Have Prescribed NTG
- Difficulty Breathing
- Does the Pt Have a Prescribed Inhaler
- Allergic Reaction
- Does the Pt Have a Prescribed Epi Auto-Injector
MEDICAL ASSESSMENT
- Perform Rapid Exam as Necessary
- Utilize DCAP-BTLS
- Head
- Neck
- Chest
- Abdomen
- Pelvis
- Extremities
- Posterior
MEDICAL ASSESSMENT
- Baseline Vital Signs
- Respirations
- Pulse
- BP
- Skin
- Pupils
- *Pulse Ox
- *Breath Sounds
MEDICAL ASSESSMENT
- Provide Care Based On:
- Signs & Symptoms
- Medical Command
- Extricate
- Transport
MEDICAL ASSESSMENT
- Focused History & Physical Exam of the Unresponsive Patient
- Steps
- PROTECT the AIRWAY / ADMINISTER O2
- Rapid Physical Exam
- Baseline Vital Signs
- History of Present Illness
- SAMPLE History
MEDICAL ASSESSMENT
- Rapid Physical Exam
- Head to Toe Trauma Exam
- DCAP-BTLS
- Head
- Neck
- Chest
- Abdomen
- Pelvis
- Extremities
- Posterior
MEDICAL ASSESSMENT
- Baseline Vital Signs
- Respirations
- Pulse
- BP
- Skin
- Pupils
- *Pulse Ox
- *Breath Sounds
MEDICAL ASSESSMENT
- Sources of Information for Present Illness & SAMPLE History
- The Patient Is Unconscious
- Family
- Friends
- Bystanders
- Medic Alert Devices
- Investigation
MEDICAL ASSESSMENT
- History of the Present Illness
- Questions to Have Answered
- O = Onset
- P = Provoke / Provocation
- Q = Quality
- R = Radiation
- S = Severity
- T = Time
MEDICAL ASSESSMENT
- SAMPLE History
- S = Signs & Symptoms
- A = Allergies
- M = Medications
- P = Past Medical History
- L = Last Oral Intake
- E = Events
MEDICAL ASSESSMENT
- Protect the Airway
- Provide Care Based On:
- Signs & Symptoms
- Medical Command
- Extricate
- Transport