1 / 13

Medical Patient Assessment

Medical Patient Assessment. Aaron J. Katz, AEMT-P, CIC www.es26medic.net. Scene size-up . BSI Scene safety Mechanism of illness Number of patients Need for additional resources  ALS Consider c-spine precautions. Initial assessment. General impression Level of consciousness (AVPU)

tuvya
Télécharger la présentation

Medical Patient Assessment

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Medical Patient Assessment Aaron J. Katz, AEMT-P, CIC www.es26medic.net

  2. Scene size-up • BSI • Scene safety • Mechanism of illness • Number of patients • Need for additional resources  ALS • Consider c-spine precautions

  3. Initial assessment • General impression • Level of consciousness (AVPU) • Chief complaint / Apparent life threats • ABCs • Identify priority patients • Transport decision • Rapid vs. delayed

  4. Focused history & PE • Perform an “illness dependent” History of Present Illness • Essentially “OPQRST” with adjustments • Illnesses follow…

  5. Respiratory • Onset • Provokes / palliates • Quality • Radiation • Severity • Time • Interventions

  6. Cardiac • Onset • Provokes / palliates • Quality • Radiation • Severity • Time • Interventions

  7. Altered Mental Status • Description of episode • Onset • Duration • Symptoms • Trauma? • Interventions • Seizures • Fever? – especially in elderly

  8. Allergic reaction • Allergic history? • Exposed to? • How? • Ingested, injection… • Effects • Progression • Interventions

  9. Poisoning / overdose • Substance • When? • How much? • Over how long? • Weight • interventions

  10. Environmental • Source • Environment • Duration • Loss of consciousness? • Local or systemic

  11. Obstetric • Pregnant? • How long? • Pain/contractions • Bleeding/discharge • Water broken? • Need to push? • LMP

  12. Behavioral • How do you feel? • Suicidal? • Threat to self or others? • Medical problem? • Interventions

  13. Assessment continued… • SAMPLE • In “E” consider traumatic causes • Focused physical exam • Consistent with illness • Vital signs • Treatment • Transport • Consider detailed physical exam especially for patients with “minimal” Level of consciousness • Ongoing assessment (initial, vitals, focused)

More Related