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Module6

PatientAssessmentOverview

PatientAssessmentOverview 1 PRIMARYSURVEY

MECHANISMOFINJURY(MOI)TRAUMA NATUREOFILLNESS(NOI)MEDICAL BSIBLOODSUBSTANCEISOLATION HHHABC(CONSCIOUSPT.)/HHHCAB(UNCONSCIOUSPT.)


Inalmosteverysituationfollowingstepsareexcellentguidelinestofollow: H Hazards Isthescenesafetoapproachthept. H Help Sendforhelpifneeded e.g.firebrigade H Hello A Airway Ispt.airwayclearandfreeofdebris? B Breathing Ispt.breathing? C Circulation Doespt.havepulse? Andorobviousbleeding?

TRIAGE

SECONDARYSURVEY

GENERALAPPEARANCE PT.POSITIONING BEHAVIOUR OBVIOUSWOUNDSANDDEFORMITIES SKIN HISTORYSAMPLE


SignsandSymptoms Allergies Medication Pastmedicalhistory Signsissomethingyousee Symptomsiswhatthept.tellsyou Askareyouallergictoanythinglikemedicationlikeaspirinorfoodlikepeanuts Areyouonchronicmedicationortakingmedicationforanythinglikefluorheart problems Thisquestionneedstoinclude thept.aswellasthept.family (pt.maynothavepastheartproblemsbutpt.parentsorfamilymayhaveheart problems) Whenwasthelasttimethept.ateorhadsomethingtoeat Whatwasthept.doingbeforethepainstarted

Lastmeal Eventsleadinguptothe event

HISTORYOFCHIEFCOMPLAINT
Asktheflowingquestions:OPQRST Onset Whendidthepainstart/begin? Provokes Whatprovokesthepain? E.g.wasthept.exercising? Quality Whatisthequalityofpain? Crushing/stabling/feelslikesomeoneissittingontheirchest Radiation/Radiating Isthepainradiating? i.e.tothejaw,arms,abdomen,back

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Module6
Severity Time

PatientAssessmentOverview

Howseveristhepain? Scaleof110?10beingtheworsethept.haseverfelt Howlonghasthepainlasted? 1hour Andisthepainconstantordoesitcomeandgoandforhowlong

VITALSIGNS
Pulse rate/rhythm/strength Respiration rate/rhythm/depth Airentry Haemoglucosetest(HGT) Bloodpressure Pupils Glasgowcomascale Revisedtraumascore Skincolourandtemperature Capillaryrefill

GLASGOWCOMASCALE(VALUEOUTOF15)
/15 1 2 3 4 5 6 VisualResponse Eyesdontopen Paincauseseyestoopen Voicescauseeyestoopen Spontaneous VerbalAbility None Incomprehensiblewords/sounds Inappropriatewords Minimal/confused Orientated MotorSkills Nomovement Abnormalextensiontopain Abnormalflexiontopain Withdrawsfrompain Localizespain Movesoncommand

Lowestscoreyoucangetis3 REVISEDTRAUMASCORE

/12 4 3 2 1 0

GCS 1315 912 68 45 3

SystolicBP >90 7689 5075 149 0

RespRate 1029 >29 69 15 0

Lowestscoreyoucangetis3

HEADTOTOE
Head Ears Nose Eyes Mouth Neck Chest Abdomen Pelvis Genitalia Extremities

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