General Discussion

• Remember for Trauma, we do a head-to-toe exam and for medical, we do a focused exam

• Example of a focused exam-c/o abdominal pain (OPQRST)-onset, provoked, quality, radiate, severity, time-Do you have any N.V? any diarrhea? any fever?

Scene Size up

• Scene safety/BSI

• NOI vs MOI-Nature of illness vs Mechanism of injury

• Number of patients

• Consider the need for additional resources

• C-Spine (Manual)

Primary Exam

• Verbalize general impression

• Establish responsive/LOC-Level of Consciousness-AOx4

• Chief complaint

• Manage any life threats (Active bleeding)

• Airway (Open/Patent)-gurgling, blood, vomit, mucous-Suction

• Breathing-chest r/f, skin signs, accessory muscles, speaking in complete sentences (place oxygen, PPV-BVM)

• Circulation-skin signs, cap refill, pulse (Treat for shock)

• Transport decision

Secondary Exam

• SAMPLE History-Signs/symptoms, Allergies, Medications, Pertinent hx, Last oral intake, events leading up

• Head to toe exam for Trauma

• OPQRST & Focused exam for Medical

• Full set of vital signs

• Manage any injuries (Splints, bandaging, etc)

• Any appropriate medical treatment

DCAP-BTLS

• Deformities

• Contusions

• Abrasions

• Penetrations

• Burns

• Trauma

• Lacerations

• Swelling

Cardiac-Chest pain

• Any SOB?

• Any N/V?

• Any Syncope?-passed out

• Any Dizziness or weakness

EMT Meds

• Aspirin-for Chest pain

• Nitro up to 3 sprays

• oxygen

• Epi pen

• Oral Glucose

• Albuterol