POWDER RIDGE SKI PATROL

Fall 2008 Connecticut Region Patroller OEC Refresher PATIENT ASSESSMENT (10/18 &10/25)

New Mexico .« adapted from« Assessment Harry Frank Enchanted Forest Nordic Ski Patrol Red River.

‡ Understand normal anatomy and physiology.The Importance of Assessment in Emergency Care ‡ Treat and transport according to your assessment. rescuer and bystanders. especially life-threatening ones ± ASSESSMENT. . ‡ Recognize compromises in patient¶s anatomy and physiology. ‡ Establish safety of patient.

temperature.Overview Scene Size-up BSI & Scene Safety MOI / NOI Request Additional Assistance Consider C-Spine Immobilization Determine Number of Patients General Impression of Patient LOR Assess & Stabilize ABCs Initiate Transport Decision Identify Priority Patients Initial Assessment Unresponsive Patient Rapid Body Survey Baseline Vitals SAMPLE History Rapid Transport Responsive Trauma Patient Focused or Rapid Body Survey Baseline Vitals SAMPLE History Rapid Transport Responsive Medical Patient History of Illness SAMPLE History Focused Physical Exam Baseline Vitals Rapid Transport Detailed Physical Exam (Whole Body Survey) Ongoing Assessment Monitor patient for changes in  Vitals  CMS  Skin color. moisture .

Out. & Back) Head Neck Chest Abdomen Pelvis Lower Extremities Upper Extremities Back DeCAP BoTtLeS Deformities Contusions Abrasions Punctures / Penetrations Penetrations Burns / Bleeding Bleeding Tenderness Lacerations Swelling CMS Circulation Motion Sneezing .Unresponsive Patient Scene Size-Up SizeInitial Survey Rapid Body Survey (Down.

Vital Signs ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Respirations Pulse Blood Pressure Temperature Skin temperature and condition Cap refill Pupillary Reaction LOR ± AVPU. Glasgow Coma .

Unresponsive Patient Baseline Vital Signs SAMPLE History (from witnesses. family) Signs / Symptoms Allergies Medications Past medical history Last oral intake Events leading up to incident Provide Needed Treatment Reevaluate Transport Decision Ongoing Assessment . companions.

Responsive Trauma Patient Scene Size-Up SizeInitial Survey Significant MOI Rapid Body Survey DeCAP BoTtLeS CMS Baseline Vital Signs SAMPLE History Immediate Transport .

Responsive Trauma Patient Scene Size-Up SizeInitial Survey Significant MOI Rapid Body Survey DeCAP BoTtLeS CMS No Significant MOI Focused Body Survey Based on Chief Complaint Baseline Vital Signs SAMPLE History Immediate Transport Reevaluate Transport Decision Detailed Physical Exam Whole Body Survey DeCAP BoTtLeS CMS Ongoing Assessment .

weight loss.Responsive Medical Patient Scene Size-Up SizeInitial Survey History of Illness Fever Pain (including headache) Variation from Normal Function Nonspecific² Nonspecific²weakness. sleep habits. appetite. etc Respiratory Circulatory Musculoskeletal / CNS Digestive Genitourinary Cutaneous OPQRST Onset Provocation Quality Radiation Severity Time SAMPLE History . fever.

Baseline Vital Signs Provide Needed Treatment Reevaluate Transport Decision Detailed Physical Exam Ongoing Assessment . tenderness. tenderness. etc. rattles. Back² Back²Palpate for tenderness or muscle rigidity in flanks. throat. Skin & Extremities Inspect for wounds. Inspect ankles for edema. Abdomen & Pelvis Palpate for distention. discharge or red streaks. Compare strength of symptomatic limb with non. rigidity. Listen for gurgles. Neck²Palpate for tenderness. Ask patient to touch chest with chin. masses. swelling. Inspect & note color of oral or nasal discharge from productive cough. crackling.Responsive Medical Patient Medical Focused Physical Exam (per chief complaint) Head²Inspect pupils. Listen for hoarseness. tonsils. redness. swelling. Chest² Chest²Listen for wheezes. enlarged nodes.symptomatic nonlimb.

If at Any Time in the Assessment Patient y Looks Seriously Ill or y Exhibits Abnormal ABCs or y Presents Poor Impression y Arrange for immediate transport to medical care .

Responsive-Trauma/Med Vitals. ABCs Look for life threatening injuries/illness Transport decision Assessment of Unresponsive. DCAPBTLS. SAMPLE. OPQRST Detailed & Ongoing Assessment .SUMMARY Scene Size-Up SCENE SAFETY ± BSI Initial Assessment LOR-AVPU.

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