Chapter 8 The Initial Assessment DOT Directory

Size: px
Start display at page:

Download "Chapter 8 The Initial Assessment DOT Directory"

Transcription

1 Chapter 8 The Initial Assessment

2 U.S. Objectives U.S. Objectives are covered and/or supported by the PowerPoint Slide Program and Notes for Emergency Care, 11th Ed. Please see the Chapter 8 correlation below. *KNOWLEDGE AND ATTITUDE Summarize the reasons for forming a general impression of the patient. Slides Discuss methods of assessing altered mental status. Slides Differentiate between assessing the altered mental status in the adult, child, and infant patient Discuss methods of assessing the airway in the adult, child, and infant patient. Slides State reasons for management of the cervical spine once the patient has been determined to be a trauma patient. Slides Describe methods used for assessing if a patient is breathing. Slides State what care should be provided to the adult, child, and infant patient with adequate breathing. (cont.)

3 U.S. Objectives *KNOWLEDGE AND ATTITUDE State what care should be provided to the adult, child, and infant patient without adequate breathing Differentiate between a patient with adequate and inadequate breathing Distinguish between methods of assessing breathing in the adult, child, and infant patient Compare the methods of providing airway care to the adult, child, and infant patient. Slides Describe the methods used to obtain a pulse. Slides Differentiate between obtaining a pulse in an adult, child, and infant patient. Slides Discuss the need for assessing the patient for external bleeding. Slide Describe normal and abnormal findings when assessing skin color. Slide 26 (cont.)

4 U.S. Objectives *KNOWLEDGE AND ATTITUDE Describe normal and abnormal findings when assessing skin temperature. Slides Describe normal and abnormal findings when assessing skin condition. Slide Describe normal and abnormal findings when assessing skin capillary refill in the infant and child patient. Slide Explain the reason for prioritizing a patient for care and transport. Slides Explain the importance of forming a general impression of the patient. Slides Explain the value of performing an initial assessment. Slide 7 (cont.)

5 U.S. Objectives *SKILLS Demonstrate the techniques for assessing mental status Demonstrate the techniques for assessing the airway Demonstrate the techniques for assessing if the patient is breathing Demonstrate the techniques for assessing if the patient has a pulse Demonstrate the techniques for assessing the patient for external bleeding Demonstrate the techniques for assessing the patient s skin color, temperature, condition, and capillary refill (infants and children only) Demonstrate the ability to prioritize patients.

6 Components of Initial Assessment

7 Components of Initial Assessment Form a general impression. Assess mental status. Assess airway. Assess breathing. Assess circulation. Identify priority patients.

8 Form a General Impression

9 Form a General Impression Environment/scene clues Chief complaint Age Sex Look/listen/smell Obvious life threats? (cont.)

10 Form a General Impression

11 Assess Mental Status Alert Verbal stimulus Painful stimulus Unresponsive

12 Mental Status: Alert Patients who are oriented to person, place, time, and day, or date are considered alert and oriented. A few EMS systems include additional questions to determine orientation.

13 Mental Status: Verbal Stimulus

14 Mental Status: Painful Stimulus

15 Mental Status: Unresponsive

16 Assess the Airway

17 Assess the Airway (cont.)

18 Assess the Airway Is patient able to maintain his own airway? If unable to, is patient a medical or trauma patient?

19 Open and Maintain Airway Medical patients Use head-tilt, chin-lift. Suction and insert oral or nasal airway as necessary. (cont.)

20 Open and Maintain Airway Trauma patients Immobilize the head manually. Use jaw thrust as necessary. Suction and insert oral or nasal airway as necessary.

21 Assess Breathing

22 Assess Breathing

23 Assess Pulse In adults and children, check radial pulse first. If no radial pulse, check carotid pulse. If no carotid pulse, start CPR and use AED as appropriate.

24 Circulation: Pulse, Bleeding, Skin

25 Infants: Check Brachial Pulse

26 Assess Skin Check skin at the same time you are checking pulse; determine: Color Temperature Condition (cont.)

27 Assess Skin

28 Look for Any Life-Threatening Injury

29 Infants/Children: Check Capillary Refill

30 Identify Priority Patients

31 Identify Priority Patients Poor general impression Unresponsive patients Responsive, but not following commands (cont.)

32 Identify Priority Patients Difficulty breathing Shock (hypoperfusion) Complicated childbirth (cont.)

33 Identify Priority Patients Chest pain with systolic BP lower than 100 Uncontrolled bleeding Severe pain anywhere

34 Determine Next Assessment Step

35 Determine Next Assessment Step Focused history and physical exam (Medical) or Focused history and physical exam (Trauma)

36 Review Questions 1. List factors you will take into account in forming a general impression of a patient. 2. Explain how to assess a patient s mental status with regard to the AVPU levels of responsiveness. (cont.)

37 Review Questions 3. Explain how to assess airway, breathing, and circulation during the initial assessment. Explain the interventions you will take for possible problems with airway, breathing, and circulation. 4. Explain what is meant by the term priority decision. (cont.)

38 Review Questions 5. Explain what special interventions are required. If a patient has suffered trauma If a patient is unresponsive

39 Street Scenes What should be done immediately upon contact with an unconscious patient who has fallen? What are some considerations when opening the airway of an unconscious patient? (cont.)

40 Street Scenes Using the AVPU scale, what is the level of responsiveness of a patient who responds to you calling out his name? (cont.)

41 Street Scenes Would knowing the cause of Joey s seizures change how you perform his initial assessment? (cont.)

42 Street Scenes For Joey, what is the best position to prevent airway problems from occurring? How did Joey s priority change during this call? (cont.)

43 Street Scenes What is the value of following a systematic method of assessment for threats to life? How much more assessment is appropriate before you transport this patient?

First Responder (FR) and Emergency Medical Responder (EMR) Progress Log

First Responder (FR) and Emergency Medical Responder (EMR) Progress Log First Responder (FR) and Emergency Medical Responder (EMR) Progress Log Note: Those competencies that are for EMR only are denoted by boldface type. For further details on the National Occupational Competencies

More information

INSTRUCTOR NOTES: Introduction slide. The program may be taught in a group setting or self taught.

INSTRUCTOR NOTES: Introduction slide. The program may be taught in a group setting or self taught. Introduction slide. The program may be taught in a group setting or self taught. 1 Enabling objectives define the specific knowledge, skills, and/or abilities to be demonstrated, compared, listed, described,

More information

American Heart Association

American Heart Association American Heart Association Basic Life Support for Healthcare Providers Pretest April 2006 This examination to be used only as a PRECOURSE TEST For BLS for Healthcare Providers Courses 2006 American Heart

More information

EPINEPHRINE AUTO-INJECTOR TRAINING POLICY ALLERGIC REACTION / ANAPHYLAXIS

EPINEPHRINE AUTO-INJECTOR TRAINING POLICY ALLERGIC REACTION / ANAPHYLAXIS Page 1 of 1 EPINEPHRINE AUTO-INJECTOR TRAINING POLICY ALLERGIC REACTION / ANAPHYLAXIS All members/employees of (service) affiliate number must complete DOH training module #004124 and be familiar with

More information

National Registry Skill Sheets

National Registry Skill Sheets Bleeding Control/Shock Management BVM Ventilation of an Apneic Adult Patient Cardiac Arrest Management/AED Joint Immobilization Long Bone Immobilization Oxygen Administration By Non-Rebreather Mask Patient

More information

National Registry of Emergency Medical Technicians Emergency Medical Technician Psychomotor Examination BLEEDING CONTROL/SHOCK MANAGEMENT

National Registry of Emergency Medical Technicians Emergency Medical Technician Psychomotor Examination BLEEDING CONTROL/SHOCK MANAGEMENT BLEEDING CONTROL/SHOCK MANAGEMENT Candidate: Examiner: Date: Signature: Possible Applies direct pressure to the wound 1 NOTE: The examiner must now inform the candidate that the wound continues to bleed.

More information

National Registry of Emergency Medical Technicians Emergency Medical Responder Psychomotor Examination PATIENT ASSESSMENT/MANAGEMENT TRAUMA

National Registry of Emergency Medical Technicians Emergency Medical Responder Psychomotor Examination PATIENT ASSESSMENT/MANAGEMENT TRAUMA PATIENT ASSESSMENT/MANAGEMENT TRAUMA Scenario # Note: Areas denoted by ** may be integrated within sequence of Primary Survey/Resuscitation SCENE SIZE-UP Determines the mechanism of injury/nature of illness

More information

National Registry of Emergency Medical Technicians Emergency Medical Responder Psychomotor Examination BVM VENTILATION OF AN APNEIC ADULT PATIENT

National Registry of Emergency Medical Technicians Emergency Medical Responder Psychomotor Examination BVM VENTILATION OF AN APNEIC ADULT PATIENT BVM VENTILATION OF AN APNEIC ADULT PATIENT Candidate: Examiner: Date: Signature: Possible Points Checks responsiveness NOTE: After checking responsiveness and breathing for at least 5 but no 1 Checks breathing

More information

American Heart Association. Basic Life Support for Healthcare Providers

American Heart Association. Basic Life Support for Healthcare Providers American Heart Association Basic Life Support for Healthcare Providers Pretest February 2001 This examination to be used only as a PRECOURSE TEST for BLS for Healthcare Providers Courses 2001 American

More information

State of New Hampshire Department of Safety Division of Fire Standards and Training & Emergency Medical Services

State of New Hampshire Department of Safety Division of Fire Standards and Training & Emergency Medical Services State of New Hampshire Department of Safety Division of Fire Standards and Training & Emergency Medical Services September 2013 PATIENT ASSESSMENT / MANAGEMENT - TRAUMA Time allowed: 10 minutes SCENARIO

More information

EMERGENCY MEDICAL RESPONDER (EMR) PRACTICAL SKILLS EXAMINATION REPORT State Form 54407 (R / 5-13)

EMERGENCY MEDICAL RESPONDER (EMR) PRACTICAL SKILLS EXAMINATION REPORT State Form 54407 (R / 5-13) EMERGENCY MEDICAL RESPONDER (EMR) PRACTICAL SKILLS EXAMINATION REPT State Form 54407 (R / 5-3) INDIANA DEPARTMENT OF HOMELAND SECURITY EMERGENCY MEDICAL SERVICES CERTIFICATION 302 West Washington Street,

More information

Northwestern Health Sciences University. Basic Life Support for Healthcare Providers

Northwestern Health Sciences University. Basic Life Support for Healthcare Providers Northwestern Health Sciences University Basic Life Support for Healthcare Providers Pretest May 2005 This examination to be used only as a PRECOURSE TEST for BLS for Healthcare Providers Courses Based

More information

Patient Assessment/Management Trauma

Patient Assessment/Management Trauma Patient Assessment/Management Trauma Date: / / Test Site Location: Station #: Takes or verbalizes standard precautions (BSI) if appropriate based on patient scenario SCENE SIZE-UP Determines the scene

More information

Adult, Child, and Infant Written Exam CPR Pro for the Professional Rescuer

Adult, Child, and Infant Written Exam CPR Pro for the Professional Rescuer Adult, Child, and Infant Written Exam CPR Pro for the Professional Rescuer Instructions: Read each of the following questions carefully and then place an X over the correct answer on the separate answer

More information

CHAPTER 1 DISASTER FIRST AID INTRODUCTION

CHAPTER 1 DISASTER FIRST AID INTRODUCTION CHAPTER 1 DISASTER FIRST AID INTRODUCTION This chapter will cover the following topics: Introduction: The basic concepts of providing disaster first aid and the equipment required to safely respond to

More information

The EMT Instructional Guidelines in this section include all the topics and material at the EMR level PLUS the following material:

The EMT Instructional Guidelines in this section include all the topics and material at the EMR level PLUS the following material: Assessment EMR Use scene information and simple patient assessment findings to identify and manage immediate life threats and injuries within the scope of practice of the EMR. EMT Applies scene information

More information

404 Section 5 Shock and Resuscitation. Scene Size-up. Primary Assessment. History Taking

404 Section 5 Shock and Resuscitation. Scene Size-up. Primary Assessment. History Taking 404 Section 5 and Resuscitation Scene Size-up Scene Safety Mechanism of Injury (MOI)/ Nature of Illness (NOI) Ensure scene safety and address hazards. Standard precautions should include a minimum of gloves

More information

INTERNATIONAL TRAUMA LIFE SUPPORT

INTERNATIONAL TRAUMA LIFE SUPPORT INTERNATIONAL TRAUMA LIFE SUPPORT What to wear STUDENT GUIDE TO INTERNATIONAL TRAUMA LIFE SUPPORT ITLS is a practical course that stresses hands-on teaching. You should wear comfortable clothes that you

More information

American Heart Association. BLS Instructor Course. Written Examination. July 2003

American Heart Association. BLS Instructor Course. Written Examination. July 2003 American Heart Association BLS Instructor Course Written Examination July 2003 Basic Life Support Instructor Exam Part I Please do not mark on this examination. Record the best answer on the separate answer

More information

EMERGENCY MEDICAL RESPONDER (EMR) PRACTICAL SKILLS EXAMINATION REPORT

EMERGENCY MEDICAL RESPONDER (EMR) PRACTICAL SKILLS EXAMINATION REPORT Reset Form EMERGENCY MEDICAL RESPONDER (EMR) PRACTICAL SKILLS EXAMINATION REPT INDIANA DEPARTMENT OF HOMELAND SECURITY EMERGENCY MEDICAL SERVICES CERTIFICATION 302 West Washington Street, Room E239 Indianapolis,

More information

Adult First Aid/CPR/AEd. Ready Reference

Adult First Aid/CPR/AEd. Ready Reference Adult First Aid/CPR/AEd Ready Reference Contents Checking an Injured or Ill Adult 3 CPR 4 AED Adult or Child 5 Conscious Choking 7 Controlling External Bleeding 8 Burns 9 Poisoning 10 Head, Neck or Spinal

More information

Obstetric Emergencies

Obstetric Emergencies Obstetric Emergencies Dr. Si Lay Khaing Senior Lecturer/ O&G Specialist Faculty of Medicine University of Malaya 15 th March 2014 Abstract Life Saving, The obstetric patient is unique in medicine as two

More information

Lifeguard Orientation/In Service Training Exercise First Aid/CPR Scenario Answer Sheet

Lifeguard Orientation/In Service Training Exercise First Aid/CPR Scenario Answer Sheet First Aid/CPR Scenario Answer Sheet Name: Date: Scenario: INSTRUCTIONS: Read the scenario description assigned to you. Once you understand the situation, think about how you would approach, assess, and

More information

Emergency Medical Technician - Basic

Emergency Medical Technician - Basic Washington State Specific Objectives for Emergency Medical Technician - Basic OFFICE OF EMERGENCY MEDICAL AND TRAUMA PREVENTION September 1996 Emergency Medical Technician - Basic Definition: Emergency

More information

MLFD Standard Operating Guidelines SOG# 12-22 Subject: Patient Transfer of Care Initiated 1/30/2013

MLFD Standard Operating Guidelines SOG# 12-22 Subject: Patient Transfer of Care Initiated 1/30/2013 MLFD Standard Operating Guidelines SOG# 12-22 Subject: Patient Transfer of Care Initiated 1/30/2013 Approved: Revised PURPOSE It is the purpose of this SOG to provide and ensure the highest level of patient

More information

2 CHECKING AN INJURED OR ILL ATHLETE

2 CHECKING AN INJURED OR ILL ATHLETE American Red Cross 2 CHECKING AN INJURED OR ILL ATHLETE ~~~'1'H ~.. 2 CHECKING AN INJURED OR III ATHLETE Checking the scene for safety and checking an injured or ill athlete is the first action to take,

More information

Basic ATLS. The Primary Survey. Jason Smith MD DMI FRCS(Gen.Surg) Consultant Surgeon

Basic ATLS. The Primary Survey. Jason Smith MD DMI FRCS(Gen.Surg) Consultant Surgeon Basic ATLS The Primary Survey Jason Smith MD DMI FRCS(Gen.Surg) Consultant Surgeon Trauma - expression comprising a spectrum of severity of mechanical violation of tissues, from a little scratch to a multiply

More information

Emergency Medical Technician Basic. Practical Skills Examination Sheets

Emergency Medical Technician Basic. Practical Skills Examination Sheets New York State Department of Health Basic Practical Skills Examination Sheets Rev 07/12 Basic Practical Skills Examination Sheets Updates Included on this page are the changes or updates that have been

More information

81 First Responder Respiratory

81 First Responder Respiratory 81 First Responder Medical Scenarios Asthma Scenario: You are called to a local house for a woman with trouble breathing. You arrive to find a 67-year-old woman sitting upright in a chair. She states she

More information

State of Indiana EMR Psychomotor Skills Examination

State of Indiana EMR Psychomotor Skills Examination SECONDARY ASSESSMENT (Detailed Exam) *Credit should be given to candidates that use a brief exam f life-threatening injuries in the Primary Survey so long as it does not delay appropriate care. Head Neck

More information

TN Emergency Medical Services

TN Emergency Medical Services TN Emergency edical ODULES AND UNITS ES System ES Providers: ER and ET Safety and Wellness Body echanics System Communication Documentation Therapeutic Communication Legal and Ethical Issues Intro to Respiratory

More information

Southern Stone County Fire Protection District Emergency Medical Protocols

Southern Stone County Fire Protection District Emergency Medical Protocols TITLE Pediatric Medical Assessment PM 2.4 Confirm scene safety Appropriate body substance isolation procedures Number of patients Nature of illness Evaluate the need for assistance B.L.S ABC s & LOC Focused

More information

S.T.A.R.T SIMPLE TRIAGE AND RAPID TREATMENT

S.T.A.R.T SIMPLE TRIAGE AND RAPID TREATMENT S.T.A.R.T SIMPLE TRIAGE AND RAPID TREATMENT Incidents which produce multiple human casualties are somewhat rare but do occur and must be planned for. A multiple or mass casualty incident can be defined

More information

BLS PRETEST BASIC LIFE SUPPORT FOR HEALTHCARE PROVIDERS (CREATED BY LAST MINUTE CPR & FIRST AID)

BLS PRETEST BASIC LIFE SUPPORT FOR HEALTHCARE PROVIDERS (CREATED BY LAST MINUTE CPR & FIRST AID) BLS PRETEST BASIC LIFE SUPPORT FOR HEALTHCARE PROVIDERS (CREATED BY LAST MINUTE CPR & FIRST AID) 1. THIS BLS FOR HEALTHCARE PROVIDERS COURSE IS GIVEN TO: a. Nurses, Doctors, Paramedics, & Healthcare Workers.

More information

Overview. Geriatric Overview. Chapter 26. Geriatrics 9/11/2012

Overview. Geriatric Overview. Chapter 26. Geriatrics 9/11/2012 Chapter 26 Geriatrics Slide 1 Overview Trauma Common Medical Emergencies Special Considerations in the Elderly Medication Considerations Abuse and Neglect Expanding the Role of EMS Slide 2 Geriatric Overview

More information

Epinephrine Auto Injector Interim Policy (Amended March 12, 2008)

Epinephrine Auto Injector Interim Policy (Amended March 12, 2008) Epinephrine Auto Injector Interim Policy (Amended March 12, 2008) Pursuant to the authority conferred by N.J.S.A. 26:2K-47.1, et seq., the Department of Health and Senior Services (the Department) shall

More information

MODULE III PLANNING &TRIAGE

MODULE III PLANNING &TRIAGE MODULE III PLANNING &TRIAGE PLANNING By failing to prepare, you are preparing to fail Benjamin Franklin OBJECTIVES Discuss the components of disaster planning Review the levels of planning Discuss the

More information

First Responder: The National EMS Scope of Practice changes the name to Emergency Medical Responder.

First Responder: The National EMS Scope of Practice changes the name to Emergency Medical Responder. APPROVED SCOPE 2/8/08 BOARD MTG First Responder: The National EMS Scope of Practice changes the name to Emergency Medical Responder. Emergency Medical Responder (EMR) Description of the Profession The

More information

Chapter Review Questions

Chapter Review Questions 1 Chapter Review Questions Chapter 1 1. True or false: As an Emergency Medical Responder, your first priority when responding to any emergency scene is patient care. 2. True or false: The first step in

More information

Chapter 31 Obstetrics and Neonatal Care 1137. Scene Size-up. Primary Assessment

Chapter 31 Obstetrics and Neonatal Care 1137. Scene Size-up. Primary Assessment Chapter 31 Obstetrics and Neonatal Care 1137 Scene Size-up Scene Safety Mechanism of Injury (MOI)/ Nature of Illness (NOI) Ensure scene safety and safe access to the patient. Standard precautions should

More information

Scenario 2 Is it ever safe enough?

Scenario 2 Is it ever safe enough? IRECA BLS Competition 2011 Scenario 2 Is it ever safe enough? Team Name Captain Name Judge 1 Judge 2 The Event: You are dispatched to a shooting for two injured at a local bar. Witnesses have told police

More information

Firefighter Rehabilitation. by Sandra Stoeckel RN,CEN,AEMT-P, Firefighter

Firefighter Rehabilitation. by Sandra Stoeckel RN,CEN,AEMT-P, Firefighter Firefighter Rehabilitation by Sandra Stoeckel RN,CEN,AEMT-P, Firefighter Goals We will discuss the need for firefighter rehab A review of the necessary components to a rehab area A discussion of the steps

More information

Infant CPR Skills Testing Checklist

Infant CPR Skills Testing Checklist Infant CPR Skills Testing Checklist Student Name Date of Test Scenario: While you are pushing a baby in a stroller at the park, you notice something is wrong with the baby. You do not have a phone nearby.

More information

EMR Instructional Guidelines. Preparatory

EMR Instructional Guidelines. Preparatory EMR Instructional Guidelines Preparatory EMS Systems Uses simple knowledge of the EMS system, safety/well being of the EMR, medical/legal issues at the scene of an emergency while awaiting a higher level

More information

American Red Cross CPR Adult EXAMPLE ANSWER SHEET

American Red Cross CPR Adult EXAMPLE ANSWER SHEET American Red Cross CPR Adult IMPORTANT: Read all instructions before beginning the exam. INSTRUCTIONS: Do not write on this exam. Mark all answers in pencil on the separate answer sheet as directed by

More information

Success Manual and Cheat Sheet Notes to Pass Your Basic Life Support (BLS) Course

Success Manual and Cheat Sheet Notes to Pass Your Basic Life Support (BLS) Course Success Manual and Cheat Sheet Notes to Pass Your Basic Life Support (BLS) Course Written by: Jay Snaric, MS And Kimberly Hickman, RN CPR St. Louis 44 Meramec Valley Plaza St. Louis MO 63088 www.stlcpr.com

More information

Frontline First Aid EMR Scenario Examples

Frontline First Aid EMR Scenario Examples Course Type: Start Date: Instructors initial scenarios as they are completed CPR-AED Scenarios CPR with Hypothermia Load and Go CPR with Obstructed Airway Continue CPR after airway clears with NO obvious

More information

EMT B Practice Test. Practice Questions:

EMT B Practice Test. Practice Questions: EMT B Practice Test Practice Questions: Questions 1 to 3 pertain to the following scenario: You and your partner are called to the home of a 75-year-old man complaining of severe pain in the chest and

More information

OVERALL PERFORMANCE. Pediatrics In-Training History and Physical Examination (HPE) Assessment

OVERALL PERFORMANCE. Pediatrics In-Training History and Physical Examination (HPE) Assessment OVERALL PERFORMANCE Pediatrics In-Training History and Physical Examination (HPE) Assessment Name: University: This resident completed the standardized assessment of history -taking, physical examination

More information

EMERGENCY MEDICAL RESPONDER REFRESHER TRAINING PROGRAM Ohio Approved Curriculum

EMERGENCY MEDICAL RESPONDER REFRESHER TRAINING PROGRAM Ohio Approved Curriculum EMERGENCY MEDICAL RESPONDER REFRESHER TRAINING PROGRAM Ohio Approved Curriculum Instructor Course Guide Ohio Approved EMR Refresher 5-16-2012 Page 1 OHIO APPROVED EMERGENCY MEDICAL RESPONDER REFRESHER

More information

EMS Course Requirements

EMS Course Requirements EMS Course Requirements The following outlines should be followed when creating your course syllabi. The minimum course hours must be met, but they can be exceeded depending on the needs of your class.

More information

Pennsylvania Trauma Nursing Core Curriculum. Posted to PTSF Website: 10/30/2014

Pennsylvania Trauma Nursing Core Curriculum. Posted to PTSF Website: 10/30/2014 Pennsylvania Trauma Nursing Core Curriculum Posted to PTSF Website: 10/30/2014 PREFACE Care of the trauma patient has evolved since 1985, when the Pennsylvania Trauma Systems Foundation (PTSF) Board of

More information

Training Manikin Requirements for American Red Cross Certification Courses

Training Manikin Requirements for American Red Cross Certification Courses Training Manikin Requirements for American Red Cross Certification Courses Introduction We are pleased to announce the release of the requirements for training manikins. These requirements apply to all

More information

CHAPTER 2 APPROACH TO THE INCIDENT

CHAPTER 2 APPROACH TO THE INCIDENT CHAPTER 2 APPROACH TO THE INCIDENT Reassuring the casualty is very important in first aid and the best reassurance for both casualty and bystanders is a confident first aider taking decisive action. In

More information

Procedure 17: Cardiopulmonary Resuscitation

Procedure 17: Cardiopulmonary Resuscitation Cardiopulmonary Resuscitation 349 Procedure 17: Cardiopulmonary Resuscitation Introduction Cardiopulmonary arrest (CPA) occurs when a patient s heart and lungs stop functioning. In children, CPA usually

More information

DOCUMENTATION TEMPLATES. All patient care reports should include the following information in the narrative:

DOCUMENTATION TEMPLATES. All patient care reports should include the following information in the narrative: DOCUMENTATION TEMPLATES All patient care reports should include the following information in the narrative: Patient Data: -Chief Complaint -Mechanism of injury/nature of illness -Associated signs and symptoms/pertinent

More information

Emergency Medical Responder Course Syllabus

Emergency Medical Responder Course Syllabus Emergency Medical Responder Course Syllabus Instructor: Assistant Instructor: Instructor Office Hours and Location: One half hour before and after class or by appointment Course Meeting Days and Times:

More information

1) Understand best practices of spinal immobilization. 3) Open the conversation with your local medical director

1) Understand best practices of spinal immobilization. 3) Open the conversation with your local medical director April 23, 2016 1) Understand best practices of spinal immobilization 2) Updated indications for use of backboard and C- collar 3) Open the conversation with your local medical director Disclaimer: This

More information

American Heart Association. Basic Life Support for Healthcare Providers

American Heart Association. Basic Life Support for Healthcare Providers American Heart Association Basic Life Support for Healthcare Providers Pretest ANNOTATED ANSWER KEY February 2001 This examination to be used only as a PRECOURSE TEST for BLS for Healthcare Providers Courses

More information

EMSPIC State NEMSIS Datasets

EMSPIC State NEMSIS Datasets E01_01 Patient Care Report Number X X E01_02 Software Creator X X E01_03 Software Name X X E01_04 Sofware Version X X E02_01 EMS Agency Number X X E02_02 Incident Number X E02_03 EMS Unit (Vehicle) Response

More information

POLICIES AND PROCEDURES

POLICIES AND PROCEDURES July 1, 2011 Approved by R. Dale Horne Fire Chief Page 1 of 5 PURPOSE: A primary mission for Anderson City Fire IC is to identify, examine and evaluate the physical and mental status of fire-rescue personnel

More information

Paediatric Advanced Warning Score (PAWS)

Paediatric Advanced Warning Score (PAWS) Paediatric Advanced Warning Score (PAWS) Prevention is better than cure. Spectrum of critical illness Ward level care HDU Care ICU Care Early admission may improve outcome ICU Outreach teams Medical Emergency

More information

Skills Summaries. Legend. Wear personal protective equipment. Communicate with patient or other responders. Record/document findings

Skills Summaries. Legend. Wear personal protective equipment. Communicate with patient or other responders. Record/document findings Legend Wear personal protective equipment Communicate with patient or other responders Record/document findings Follow your local protocol Treat for shock Link to another skill Six Rights of Medication

More information

EYE, EAR, NOSE, and THROAT INJURIES

EYE, EAR, NOSE, and THROAT INJURIES T6 EYE, EAR, NOSE, and THROAT INJURIES Management of injuries of the eyes, ears, nose, and throat focuses on airway management and initial stabilization of the injury. Bilateral comparisons can assist

More information

Emergency Medical Technician

Emergency Medical Technician Emergency Medical Technician The Emergency Medical Technician course provides an introduction to emergency medical care. Training modules include medical-legal, roles and responsibilities of the EMT, documentation

More information

Nassau Regional EMS Council Basic Life Support Protocols and Supplements to State BLS Protocol Manual Table of Contents

Nassau Regional EMS Council Basic Life Support Protocols and Supplements to State BLS Protocol Manual Table of Contents Nassau Regional EMS Council Basic Life Support Protocols and Supplements to State BLS Protocol Manual Table of Contents Approved/ Revised Effective BLS Adult Nerve Agent/Organophosphate Poisoning Antidote

More information

How To Treat A Pregnant Woman With A Miscarriage

How To Treat A Pregnant Woman With A Miscarriage Special Patient Populations Obstetrics EMR Education Standard Recognizes and manages life threats based on simple assessment findings for a patient with special needs while awaiting additional emergency

More information

By Accident. OEC Edition Fall 2012

By Accident. OEC Edition Fall 2012 By Accident OEC Edition Fall 2012 As we get ready for the winter, it is time to think about refreshing our first aid training, dusting off our skills before the ski season starts and getting ready another

More information

Emergency Action Plans

Emergency Action Plans Emergency Action Plans Clearly the most effective way to deal with an injury- emergency is to plan ahead and to practice the appropriate procedures. An emergency action plan is a written plan of action

More information

SBAR Communication CONCISE

SBAR Communication CONCISE SBAR Communication CONCISE CLEAR EFFECTIVE Contra Costa EMS is adopting a county-wide prehospital model for communicating patient care information between EMS and ED providers with the purpose of improving

More information

EMS Patient Care Report Navigation Logic for Record Creation

EMS Patient Care Report Navigation Logic for Record Creation EMS Patient Report Navigation Logic for Record Creation This document serves to provide specifications regarding data entry and data element completion requirements for PreMIS Version 2 web-based application

More information

Official Online ACLS Exam

Official Online ACLS Exam \ Official Online ACLS Exam Please fill out this form before you take the exam. Name : Email : Phone : 1. Hypovolemia initially produces which arrhythmia? A. PEA B. Sinus tachycardia C. Symptomatic bradyarrhythmia

More information

Health Science Career Cluster Emergency Medical Responder Course Number: 25.45000

Health Science Career Cluster Emergency Medical Responder Course Number: 25.45000 Health Science Career Cluster Emergency Medical Responder Course Number: 25.45000 Course Description: The Emergency Medical Responder (EMR) course prepares the student to provide initial stabilizing care

More information

BLS for Healthcare Providers Study Guide and Pretest

BLS for Healthcare Providers Study Guide and Pretest BLS for Healthcare Providers Study Guide and Pretest Adult CPR 1-Rescuer CPR Sequence check for responsiveness if no response, activate 911 and get the AED open the airway look, listen, & feel for breathing

More information

First Aid as a Life Skill. Training Requirements for Quality Provision of Unit Standard-based First Aid Training

First Aid as a Life Skill. Training Requirements for Quality Provision of Unit Standard-based First Aid Training First Aid as a Life Skill Training Requirements for Quality Provision of Unit Standard-based First Aid Training New Zealand Qualifications Authority 2010 2 Index Introduction 3 Section One: Framework outline

More information

COUNTY OF KERN EMERGENCY MEDCAL SERVICES DEPARTMENT. EMS Aircraft Dispatch-Response-Utilization Policies & Procedures

COUNTY OF KERN EMERGENCY MEDCAL SERVICES DEPARTMENT. EMS Aircraft Dispatch-Response-Utilization Policies & Procedures COUNTY OF KERN EMERGENCY MEDCAL SERVICES DEPARTMENT Final - May 2, 2002 Russ Blind Interim Director Robert Barnes, M.D. Medical Director TABLE OF CONTENTS Section: Topic: Page #: I. Definitions 3-4 II.

More information

Intermedix Inc. EMR 2006 Data Element Name. Compliant. Data Number. Elements

Intermedix Inc. EMR 2006 Data Element Name. Compliant. Data Number. Elements D01_01 EMS Agency X D01_02 EMS Agency D01_03 EMS Agency State X D01_04 EMS Agency County X D01_05 Primary Type of Service D01_06 Other Types of Service D01_07 Level of Service X D01_08 Organizational Type

More information

Ohio s Do-Not-Resuscitate Law

Ohio s Do-Not-Resuscitate Law Ohio s Do-Not-Resuscitate Law Copied from Choices: Living Well at the End of Life developed in collaboration with the Ohio Hospice and Palliative Care Organization, the Ohio State Medical Association,

More information

Emergency Medical Dispatching (EMD)

Emergency Medical Dispatching (EMD) Goals: Emergency Medical Dispatching (EMD) This program has been specifically designed to know how to use and be able to practice scenarios for Emergency Medical Dispatching. Objectives: Can explain how

More information

CPR/AED for Professional Rescuers and Health Care Providers HANDBOOK

CPR/AED for Professional Rescuers and Health Care Providers HANDBOOK CPR/AED for Professional Rescuers and Health Care Providers HANDBOOK TABLE OF CONTENTS SECTION 1: THE PROFESSIONAL RESCUER The Duty to Respond 2 Preventing the Spread of Bloodborne Pathogens 3 Taking Action

More information

(ISBN:9781449604103) Preferred Package Digital Supplement

(ISBN:9781449604103) Preferred Package Digital Supplement College of DuPage Technology Center of DuPage 10 Semester Credit Hours E-mail: gregl@tcdupage.org Phone Number: 630-691-7561 Class meets on: Monday through Friday Morning Session Students: 8:00 am -10:50am

More information

Airway and Breathing Skills Levels Interpretive Guidelines

Airway and Breathing Skills Levels Interpretive Guidelines Office of Emergency Medical Services and Trauma INDEX EFFECTIVE LAST REVIEW PAGES VERSION R-P11A 7/1/2011 7/1/2011 5 2011 Scope of Practice for EMS Personnel Emergency Medical Personnel are permitted to

More information

Certified Athletic trainers should follow a 10-step process of evaluation for orthopedic injuries, which includes but is not limited to:

Certified Athletic trainers should follow a 10-step process of evaluation for orthopedic injuries, which includes but is not limited to: Acute Care Policy Acute Care Policy and Procedures Athletic training students within Winona State University s Athletic Training Education Program have the opportunity to evaluate acute athletic injuries

More information

!!!!!! Blood Pressure Measurement Palpation... 1 Blood Pressure Measurement Auscultation... 2 Conscious, Choking Adult or Child...

!!!!!! Blood Pressure Measurement Palpation... 1 Blood Pressure Measurement Auscultation... 2 Conscious, Choking Adult or Child... !!!!!! Blood Pressure Measurement Palpation... 1 Blood Pressure Measurement Auscultation... 2 Conscious, Choking Adult or Child... 3 Conscious, Choking Baby... 4 Unconscious, Choking Adult, Child, or Baby...

More information

New York State Department of Health Bureau of Emergency Medical Services

New York State Department of Health Bureau of Emergency Medical Services New York State Department of Health Bureau of Emergency Medical Services Statewide Basic Life Support Adult & Pediatric Treatment Protocols EMT-B and AEMT 2008 Updated 11/20/08 = Preface and Acknowledgments

More information

Vital and Diagnostic Signs

Vital and Diagnostic Signs GENERAL The four vital signs and the five diagnostic signs evaluated during patient assessment provide valuable information to the care provider, and when recorded properly, to the receiving facility/personnel.

More information

Section Two: Arterial Pressure Monitoring

Section Two: Arterial Pressure Monitoring Section Two: Arterial Pressure Monitoring Indications An arterial line is indicated for blood pressure monitoring for the patient with any medical or surgical condition that compromises cardiac output,

More information

New York State Department of Health Bureau of Emergency Medical Services

New York State Department of Health Bureau of Emergency Medical Services New York State Department of Health Bureau of Emergency Medical Services Statewide Basic Life Support Adult & Pediatric Treatment Protocols EMT-B and AEMT 2003 Version III = Preface and Acknowledgments

More information

Routine Protocols & Pulse Oximetry

Routine Protocols & Pulse Oximetry Routine Protocols & Pulse Oximetry Q4 2012 Pulse Oximetry Continuing Education 2012 4 th Quarter The purpose of this training bulletin is to familiarize the members of the Cleveland Fire Department of

More information

OHIO Emergency Medical Technician: Basic Refresher Curriculum. Instructor Course Guide

OHIO Emergency Medical Technician: Basic Refresher Curriculum. Instructor Course Guide OHIO Emergency Medical Technician: Basic Refresher Curriculum Instructor Course Guide Approved by EMS Board 10/15/2003 Instructor Course Guide Table of Contents Section/Area Introduction --------------------------------------------------------------------------

More information

Introduction and objectives of the Emergency First Aid /AED - Child care course. Learning objectives

Introduction and objectives of the Emergency First Aid /AED - Child care course. Learning objectives COURSE PLAN Introduction and objectives of the Emergency First Aid /AED - Child care course The Child care /AED course prepares the candidate to assume a role of first-aider when called upon to react in

More information

ADMINISTERING EMERGENCY OXYGEN

ADMINISTERING EMERGENCY OXYGEN FACT SHEET ADMINISTERING EMERGENCY OXYGEN Emergency oxygen can be given for many breathing and cardiac emergencies. It can help improve hypoxia (insufficient oxygen reaching the cells) and reduce pain

More information

SUBSTANCE USE DISORDER SOCIAL DETOXIFICATION SERVICES [ASAM LEVEL III.2-D]

SUBSTANCE USE DISORDER SOCIAL DETOXIFICATION SERVICES [ASAM LEVEL III.2-D] SUBSTANCE USE DISORDER SOCIAL DETOXIFICATION SERVICES [ASAM LEVEL III.2-D] I. Definitions: Detoxification is the process of interrupting the momentum of compulsive drug and/or alcohol use in an individual

More information

Scottish Casualty Care Certificate (SCCC)

Scottish Casualty Care Certificate (SCCC) Scottish Casualty Care Certificate (SCCC) Brian Tregaskis MRC of S Medical Officer Jan 2011 Syllabus It is of fundamental importance that the knowledge gained in pursuit of the SCCC is utilised in a safe

More information

MASS CASUALTY INCIDENT (MCI)

MASS CASUALTY INCIDENT (MCI) MASS CASUALTY INCIDENT (MCI) AN OVERVIEW Atlanta bus crash (internet photo) wikimedia.org Jim Thomas, Captain EMT-B, EMSI, FF2, FSI, FI As emergency responders, we all respond to hundreds of emergency

More information

Objectives. Burn Assessment and Management. Questions Regarding the Case Study. Case Study. Patient Assessment. Patient Assessment

Objectives. Burn Assessment and Management. Questions Regarding the Case Study. Case Study. Patient Assessment. Patient Assessment Objectives Burn Assessment and Management Discuss the mechanisms and complications of a thermal burn, electrical burn and an inhalation burn Explain the factors to consider when determining the severity

More information

Maricopa Integrated Health System: Administrative Policy & Procedure

Maricopa Integrated Health System: Administrative Policy & Procedure Maricopa Integrated Health System: Administrative Policy & Procedure Effective Date: 03/05 Reviewed Dates: 09/05, 9/08 Revision Dates: Policy #: 64500 S Policy Title: Cervical & Total Spine Clearance and

More information

EMT 111 EMERGENCY MEDICAL TECHNICIAN I 8 cr. (8-0)

EMT 111 EMERGENCY MEDICAL TECHNICIAN I 8 cr. (8-0) JOHN A. LOGAN COLLEGE T. Thompson SP 11 EMT 111 EMERGENCY MEDICAL TECHNICIAN I 8 cr. (8-0) COURSE DESCRIPTION: A course designed to provide the student with techniques of emergency care and transportation

More information

EMR Medical Directives and Guidelines

EMR Medical Directives and Guidelines EMR Medical Directives and Guidelines Central East Prehospital Care Program, May 1, 2009 Section One 1 USE OF MEDICAL DIRECTIVES / GUIDELINES These medical directives and guidelines are not intended to

More information

100018 100016 100017. Scope of Course Public Safety First Aid and CPR Course Content. (a) The initial course of instruction shall at a minimum

100018 100016 100017. Scope of Course Public Safety First Aid and CPR Course Content. (a) The initial course of instruction shall at a minimum 100018 100016 100017. Scope of Course Public Safety First Aid and CPR Course Content. (a) The initial course of instruction shall at a minimum consist of not less than fifteen (15) hours in first aid and

More information