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Patient Assessment And Management. By Ethan Bjorklund Dave Furey Grant Riedemann. IV SKILL STATION. 1. IHCC EHS . REVIEW. Airway with C-Spine Control. Takes or directs manual inline immobilization of the head This is done to prevent any injury to the neck Opens and assesses airway

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Patient assessment and management
Patient Assessment And Management

By Ethan Bjorklund

Dave Furey

Grant Riedemann

IV

SKILL

STATION

1

IHCC EHS

REVIEW


Airway with c spine control
Airway with C-Spine Control

  • Takes or directs manual inline immobilization of the head

    • This is done to prevent any injury to the neck

  • Opens and assesses airway

    • This is done to make sure airway is clear of any foreign abject.

  • Inserts airway adjunct

    • This is done to keep an unconscious patient’s tongue from closing off the airway.


Breathing
Breathing

  • Assesses breathing

  • Initiates appropriate oxygen therapy

  • Assures adequate ventilation of the patient.

  • Manages any injury that may compromise the breathing.


Circulation
Circulation

  • Checks pulse

  • Assesses peripheral perfusion

    • Assess either skin color, temperature, or capillary refill.

  • Assesses and controls any major bleeding

  • Takes Vital signs

    • Blood pressure, pulse and respiration's are the three vitals.


Circulation continued
Circulation (continued)

  • Volume replacement

  • Click here for an IV Insertion Presentation

    • This is where you determine if an IV is needed

      • Initiates first IV line

      • Initiates second IV line

      • Selects appropriate catheters

      • Selects appropriate IV solutions and administration sets

      • Infuses at appropriate rate


Performs neuro exam
Performs Neuro Exam

  • Determine if the patient has any neurological problems.

    • Use the AVPU scale

      • A- Alert., is the patient alert and talking to you and aware of his surroundings

      • P-Pain, does the patient respond to pain

      • V-verbal, does the patient respond to your verbal commands.

      • U-unresponsive, is the patient unresponsive .

  • Applies cervical collar.


Expose
Expose

  • Removes clothing to expose any unseen injuries.

  • This is where you look for DCAP BTLS

    • D- deformities

    • C-contusions

    • A-abrasions

    • P-punctures and perforations


Expose continued
Expose (continued)

  • B-bruising

  • T-tenderness

  • L-lacerations

  • S-swelling


Status
Status

  • This is were you get to make the call as the emergency health care provider of whether or not to immediately transport the patient……..

    OR


Secondary survey
SECONDARY SURVEY

  • This is done if you decide to stay on scene or, if time permits, while enroute to the hospital with a critical patient.


HEAD

  • Check the mouth, nose, facial area for any DCAP BTLS signs.

  • Inspect and palpate the scalp and ears for DCAP BTLS signs.

  • Check the pupils to see if they are equal, round and reactive to light.


NECK

  • Check for tracheal deviation.

  • Check for jugular veins distension.

  • Palpate the cervical spine.


Chest
CHEST

  • View chest for any signs of DCAP-BTLS.

  • Palpate the chest for any trauma.

  • Auscultate chest for lung sounds.

    • Lung sounds should be clear and equal bilaterally.


Abdomen pelvis
ABDOMEN/PELVIS

  • Inspect and palpate abdomen for any signs of DCAP-BTLS.

  • Assess pelvis for and signs of DCAP-BTLS.


Lower extremities
LOWER EXTREMITIES

  • Inspect and palpate the LEFT and RIGHT leg for any signs of DCAP-BTLS.

  • Check each leg for Distal Circulation, Motor,and Sensory (CMS) function.

  • Identify and treat minor wounds/fractures appropriately


Upper extremities
UPPER EXTREMITIES

  • Inspect and palpate the LEFT and RIGHT arm for any signs of DCAP-BTLS.

  • Check each leg for Distal Circulation, Motor,and Sensory (CMS) function.

  • Identify and treat minor wounds/fractures appropriately


Posterior thorax lumbar buttocks
POSTERIOR THORAX/LUMBARBUTTOCKS

  • Inspect and palpate posterior thorax, lumber, and buttocks areas for any signs of DCAP-BTLS.

  • Identify and treat minor wounds/fractures appropriately.


Critical criteria
Critical Criteria

  • These are actions that will result in automatic failure of station!

  • Click here for a link to the National Registry Checklist (This is a PDF file, your computer must have Adobe Acrobat to read it).

    • Failure to initiate or call for transport of the patient within 10 minutes.

    • Failure to take or verbalize Body Substance Isolation Precautions.

    • Failure to initiate or maintain spinal stabilization.


Critical criteria continued
Critical Criteria (continued)

  • Failure to provide high concentration oxygen.

  • Failure to find and evaluate all conditions related to the ABC’s.

  • Failure to appropriately manage the ABC’s or treatment for shock.

  • Failure to assess transportation priority.

  • Failure to treat threats to the ABC’s before doing the Secondary Survey.


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