The candidate
shall be able to conduct a scene size-up, triage, and complete assessment of
patients suffering from a medical event or traumatic injury. From this
assessment, the candidate shall be able to identify emergent conditions, and
extract critical data from the assessment to formulate a treatment plan.
References: Brady
“Emergency Care”, Eighth Edition (Chapters 7-12. See inside cover
for assessment flow chart)
Brady
“Prehospital Emergency Care”, Fifth Edition (Chapters 8 and 9)
Performance
Objectives: The candidate shall be given a random patient care scenario in
which the candidate shall be able to:
Ø
initiate an adequate scene size-up to include: Mechanism of
injury/ Nature of illness, number of patients, hazards/safety concerns,
additional equipment, and triage.
Ø
form general impressions upon approaching the patient while
observing the following: patient’s sex, approximate age, obvious
abnormalities, obvious distress, and position.
Ø
conduct an initial assessment to include: c-spine control (If
needed), level of consciousness check, airway assessment (maneuvers as
needed), breathing assessment, circulation (including pulses, skin condition,
and gross bleeding), and prioritization of the patient as critical or stable.
Ø
determine whether the patient requires a rapid physical exam or
focused physical and conducts the physical exam appropriately to include the
skills of inspection, auscultation, palpation, and comparison.
Ø
obtain the patient’s medical history utilizing the SAMPLE
history method.
Ø
obtain a complete set of baseline vitals to include: Pulse
(rate, rhythm, strength) skin (color, temperature, condition) level of
consciousness, respiratory (rate, rhythm, depth) lung sounds, and pupil size
and response.
Ø
make appropriate transportation decisions based on the
patient’s needs and status.
Ø
conduct a detailed assessment if needed while transporting.
Ø
conduct an ongoing assessment that reevaluates the effectiveness
of all treatment initiated, and changes in patient’s condition or status.
Performance
Evaluation: The evaluator shall present the candidate with a specific
scenario in which a victim will simulate predetermined complaints and/or
conditions that will require the candidate to conduct an adequate assessment
and collect critical data in order to formulate a treatment plan. The
evaluator will utilize a standardized assessment sheet to document the actions
of the candidate as adequate or inadequate.
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