Topic: Baseline Vitals and Sample History Company Drill
|
|
- Lesley Kelly
- 5 years ago
- Views:
Transcription
1 Baseline Vitals and Sample History Company Drill Instructor Guide Session Reference: 1 Topic: Baseline Vitals and Sample History Company Drill Level of Instruction: 2 Time Required: Three Hours Materials Blood Pressure cuff & stethoscope Pen light Clock or wrist watch with second hand Writing paper Writing pencil Personal protective equipment: gloves References Brady Emergency Care, 11 th Edition, The Maryland Medical Protocols for Emergency Medical Services Providers, Effective July 1, 2011, Maryland Institute for Emergency Medical Services Systems Preparation Motivation The Baseline Vitals and SAMPLE History are part of the essential information necessary to obtain and document in order to give a patient the best possible care in the field. This information can alert the provider to call for additional resources if necessary and can give those accepting care of the patient at the next level of patient care a good idea of what may be going on inside the patient s body.
2 Objective (SPO) 1-1: Given a live victim; blood pressure cuff; stethoscope; pencil; paper; pen light; clock or wrist watch, the student will be able to demonstrate, from memory and without assistance, the proper procedures in obtaining a set of Baseline Vitals, to include: pulse, respirations, skin color, skin temperature and condition, pupil appearance, blood pressure and be able to document the same at a practical station, as governed by The Maryland Medical Protocols for Emergency Medical Services Providers, Effective January 1, 2002 and the Brady Emergency Care, 7 th Edition, EMT-Basic National Standard Curriculum. The student will also be able to score a 70% or above on a written exam. Objective (SPO) 2-1: Given a live victim, pen and paper, the student will be able to demonstrate, from memory and without assistance, the proper procedure in obtaining a SAMPLE History, to include: signs and symptoms, allergies, medications, past pertinent history, last oral intake and events that lead to the problem, and be able to document the same at a practical station as governed by The Maryland Medical Protocols for Emergency Medical Services Providers, Effective January 1, 2002 and the Brady Emergency Care, 7 th Edition, EMT-Basic National Standard Curriculum. The student will also be able to score a 70% or above on a written exam. 2
3 Overview: Review of properly obtaining and documenting Baseline Vitals and a SAMPLE History Pulse Respirations Skin color Skin temperature and condition Pupil appearance Blood pressure Signs and symptoms Allergies Medications Past pertinent history Last oral intake Events that lead to problem
4 Session 1 Baseline Vitals SPO 1-1 EO EO EO EO EO EO SPO 2-1 EO Given a live victim; blood pressure cuff; stethoscope; pen or pencil; paper; pen light; clock or wrist watch, the student will be able to demonstrate, from memory and without assistance, the proper procedures in obtaining and documenting a set of Baseline Vitals. Demonstrate the method of obtaining, assessing and documenting a pulse rate. Demonstrate the method of obtaining, assessing and documenting a respiratory rate. Demonstrate the method of obtaining and documenting skin color. Demonstrate the method of obtaining and documenting skin temperature and condition. Demonstrate the method of obtaining, assessing and documenting pupil appearance. Demonstrate the method of obtaining and documenting a blood pressure by auscultation and palpation. Given a live victim, pen and paper, the student will be able to demonstrate, from memory and without assistance, the proper procedure in obtaining and documenting a SAMPLE History. Demonstrate the method of obtaining and documenting a SAMPLE History.
5 Instructional Guide I. Pulse (1-1-1) A. Pulse rate number of heart beats per minute 1. Factors that affect pulse rate B. Pulse types a. Age b. Physical Condition c. Degree of exercise just completed d. Medical condition e. Medication f. Blood Loss g. Stress h. Body temperature i. Fear 1. Tachycardia - rapid rate 2. Bradycardia slow rate C. Pulse quality 1. Rhythm a. Regularity b. intervals between beats constant 2. Force - pressure of pulse wave as it expands artery 3. Full pulse strong wave 4. Thready pulse weak wave
6 D. Pulse locations 1. Radial a. one year and above c. radial artery lateral side of forearm (thumb) 2. Carotid large artery on either side of neck 3. Brachial upper medial arm 4. Dorsal Pedis - lateral to the large tendon of big toe 5. Posterior tibial - behind medial ankle of foot 6. Femoral - inside thigh of leg E. Demonstrate how to obtain a pulse 1. Finger placement 2. Count by using second hand on watch or clock a. count for 30 seconds x 2 b. count for15 seconds x 4 F. Demonstrate how to document a pulse II. Respirations (1-1-2) A. Respiratory rate number of breaths (in and out) per minute 1. Normal rate 2. Rapid rate 3. Slow rate - all rates can be affected by a. age b. sex
7 B. Quality c. size d. physical condition e. emotional state f. fear 1. Normal a. chest or abdomen moves average depth with each breath b. not using accessory muscles 2. Shallow - Slight movement of chest or abdomen 3. Labored a. patient has to work hard to move air in and out b. use of accessory muscles c. nasal flaring d. retractions pulling in above collarbones or between ribs (especially in infants & children) 4. Noisy - obstructed breathing 5. Snoring - airway blocked 6. Wheezing - medical problem such as Asthma 7. Gurgling - fluids in the airway 8. Crowing - noisy harsh sound when breathing in C. Demonstrate how to obtain a respiratory rate a. Stethoscope
8 b. Hand on chest c. Look with eyes d. Use of clock or wrist watch with second hand D. Demonstrate how to document respiratory rate II. Skin Color (1-1-3) A. Skin color 1. Pink a. Normal in light-skinned patients b. Normal at inner eyelids, lips, nail beds of darkskinned patients 2. Pale - Constricted blood vessels possible result of a. Blood loss b. Shock c. Heart attack e. Emotional distress 3. Cyanotic (blue) - Lack of oxygen in blood cells and tissues result of 4. Flushed (red) a. Inadequate breathing b. Inadequate heart function a. Exposure to heat b. High blood pressure c. Emotional excitement
9 5. Jaundiced (yellow) - Liver abnormalities 6. Mottling (blotchiness) - Occasionally in patients with shock B. Demonstrate how to document skin color IV. Skin Temperature & Condition (1-1-4) 1. Cool and clammy 2. Usual sign of shock 3. Usual sign of anxiety B. Cold and moist - Body is losing heat C. Cold and dry - Exposure to cold D. Hot and dry 1. High fever 2. Heat exposure E. Hot and moist 1. High fever 2. Heat exposure F. Goose pimples, shivering, chattering teeth, blue lips & pale skin 1. Chills 2. Communicable disease 3. Exposure to cold, pain or fear G. Demonstrate how to obtain skin temperature and condition (Use gloved hand) V. Pupil Appearance (1-1-5)
10 A. Pupil is the black center of the eye - Amount of light that enters the eye changes the size B. Evaluate pupils for 1. Size 2. Equality a. Both equal in size b. Causes of unequal pupils: stroke, head injury, eye injury, artificial eye 3. Reactivity C. Dilated Pupils a. Reacting to light by changing sizes b. Causes for lack of reactivity: drugs, lack of oxygen to the brain 1. Become larger 2. Allow more light into the eye 3. Causes for dilated pupils: fright, blood loss, drugs, treatment with eye drops D. Constricted Pupils 1. Become smaller 2. Large amount of light gets into the eye E. Demonstrate how to evaluate pupils - Use of pen light F. Demonstrate how to document pupil appearance VI. Blood Pressure (1-1-6)
11 A. Blood Pressure the force of blood against the walls of blood vessels when Left ventricle (lower chamber) of heart contracts and forces blood into circulation B. Systolic force of blood into the arteries when heart contracts 1. Upper number read when taking a blood pressure 2. First number given when reporting a blood pressure 3. Systolic pressure usually parallels pulse rate (When pulse rate increases, systolic does also) 4. Systolic reading is always an even number if reading falls between two lines use the higher reading C. Diastolic pressure remaining in the arteries when the left ventricle of the heart relaxes and refills 1. Lower number read when taking a blood pressure 2. Second number given when reporting a blood pressure 3. Diastolic reading is always an even number if reading falls between two lines use the higher number D. High blood pressure causes 1. Medical condition 2. Exertion 4. Fright 5. Emotional distress or excitement E. Low blood pressure causes 1. Athlete or other person with normally low blood pressure 2. Blood loss 3. Late sign of shock
12 F. Demonstrate obtaining a blood pressure 1. Auscultation method a. Reading sphygmomanometer b. Placement of cuff c. Stethoscope placement i. Bell (also called Head or Chestpiece) placement ii. Arm placement 2. Palpation method a. Cuff placement b. Hand placement c. Inflate cuff 30 mm of mercury above point where you no longer feel a radial pulse d. Deflate cuff slowly e. Note reading at which the radial pulse returns f. This reading is the systolic reading G. Demonstrate documenting a blood pressure VII. SAMPLE History (2-1-1) A. Signs/Symptoms 1. Why did you call What is wrong 3. Document B. Allergies
13 1. Medications 2. Foods 3. Environment 4. Medical ID tag explaining allergies 5. Document C. Medications 1. Medications currently taking a. Prescribed b. Over the counter c. Recreational 2. If patient answers yes, ask: a. Name of medication b. Dosage and how often taken c. Why they are taking d. Was the medication taken today and when e. After taking was their any relief or change in symptoms 3. Document D. Pertinent past history 1. Currently being treated for any illness 2. Have you been feeling ill 3. Any recent surgeries or injuries
14 4. Have you been seeing a doctor 5. What is your doctor s name 6. Document E. Last oral intake 1. When did you last eat or drink 2. What did you eat or drink 3. Document F. Events leading to the injury or illness 1. What were you doing before you began feeling this way 2. Document Summary
15 Review: Properly obtaining and documenting Baseline Vitals and a SAMPLE History Pulse: rate, type, quality Respirations: rate, quality, method of obtaining Skin Color: pink, pale, cyanotic, flushed, jaundiced, mottling Skin temperature and condition: cool/clammy, cold/moist, cold/dry, hot/dry, hot/moist, goose pimples, shivering, chattering teeth, blue lips, pale skin Pupil appearance: size, quality, reactivity Blood pressure: systolic, diastolic, auscultation, palpation Signs and symptoms Allergies Medications Past pertinent history Last oral intake Events that lead to problem 10 Remotivation: The Baseline Vitals and SAMPLE History are part of the essential information necessary to obtain and document in order to give a patient the best possible care in the field. This information can alert the provider to call for additional resources if necessary and can give those accepting care of the patient at the next level of patient care a good idea of what may be going on inside the patient s body. Evaluation
Overview. Baseline Vital Signs. Chapter 5. Baseline Vital Signs and SAMPLE History. Baseline Vital Signs. SAMPLE History
Chapter 5 Baseline Vital Signs and SAMPLE History Slide 1 Baseline Vital Signs Breathing Skin Pupils Blood Pressure Overview Vital Sign Reassessment SAMPLE History Slide 2 Baseline Vital Signs Slide 3
More informationBaseline Vital Signs and SAMPLE History. Chapter 5
Baseline Vital Signs and SAMPLE History Chapter 5 Baseline Vital Signs and SAMPLE History Assessment is the most complex skill EMT-Bs learn. During assessment you will: Gather key information. Evaluate
More informationAaron J. Katz, AEMT-P, CIC Outward signs of what is occurring inside the body
Vital Signs Aaron J. Katz, AEMT-P, CIC www.es26medic.net 2013 Vital Signs Outward signs of what is occurring inside the body Also give valuable information about the patient s condition They are taken
More informationChapter 12 - Vital_Signs_and_Monitoring_Devices
Introduction to Emergency Medical Care 1 OBJECTIVES 12.1 Define key terms introduced in this chapter. Slides 13 15, 17, 21 22, 26, 28, 30, 32 33, 35, 44, 47 48, 50, 55, 60 12.2 Identify the vital signs
More informationChapter 9 Vital Signs and SAMPLE History DOT Directory
Chapter 9 Vital Signs and SAMPLE History 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 9 correlation
More informationVital Signs and SAMPLE History
CHAPTER 9 Vital Signs and SAMPLE History Overall Assessment Scheme Scene Size-Up Initial Assessment Trauma Physical Exam Vital Signs & SAMPLE History Medical SAMPLE History Physical Exam & Vital Signs
More informationEmergency Medical Training Services Emergency Medical Technician Basic Program Outlines Outline Topic: ASSESSMENT Revised: 11/2013
Emergency Medical Training Services Emergency Medical Technician Basic Program Outlines Outline Topic: ASSESSMENT Revised: 11/2013 DEFINITIONS General Impression - EMT develops a plan of action from the
More informationChapter 15: Measuring Height, Weight, and Vital Signs. Copyright 2012 Wolters Kluwer Health Lippincott Williams & Wilkins
Chapter 15: Measuring Height, Weight, and Vital Signs Height and Weight Weight Baseline measurement at patient s first visit Measured in kg or lbs Common types of scales Balance beam Dial Digital Height
More information7/12/2014. Patient History and SAMPLE. Vital Signs, History Taking and Mechanism Of Injury (Class 7)
1 2 3 4 5 6 7 8 9 10 11 12 Vital Signs, History Taking and Mechanism Of Injury (Class 7) Patient History and SAMPLE General Information Chief complaint Why EMS assistance was requested Should always be
More informationChapter 11. Objectives. Objectives 01/09/2013. Baseline Vital Signs, Monitoring Devices, and History Taking
Chapter 11 Baseline Vital Signs, Monitoring Devices, and History Taking Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren Copyright 2010 by Pearson Education, Inc. All rights
More informationPatient Assessment From Brady s First Responder (8th Edition) 83 Questions
Patient Assessment From Brady s First Responder (8th Edition) 83 Questions 1. Which question is important if your patient may be a candidate for surgery? p. 183 *A.) When did you last eat? B.) What is
More informationChapter 12. Vital Signs Assessment
Chapter 12 Vital Signs Assessment Pre-Test 1. What are vital signs? 2. List as many vital signs as you know. Key Terms homeostasis: a state of equilibrium within the body maintained through the adaptation
More informationCrucial Signs כל הזכויות שמורות למד"א מרחב ירושלים
Crucial Signs Dan Drory, MDA Paramedic and Instructor, 2011 What are Signs? Sign Objective, measurable Symptom Subjective, evaluated by the patient ( Chest Pain, Difficulties Breathing, Headache ) Signs
More informationVital Signs. Vital Signs. Vital Signs
Vital Signs Vital Signs Why do vital signs? Determine relative status of vital organs Establish baseline Monitor response to Rx, meds Observe trends Determine need for further evaluation, Rx, intervention
More informationLEARNING OUTCOME The students will be able to elicit vital signs correctly on human volunteers/patients
Vital signs (pulse, blood pressure, temperature, respiratory rate, pain) are physiological parameters that a healthcare professional requires when dealing with patients. Accurate measurement of vital signs
More informationMeasuring and Recording Temperature
Measuring and Recording Temperature Measurement of balance between heat lost and produced by the body. Lost through: Perspiration Respiration Excretion Produced by: Metabolism of food Muscle and gland
More informationClinical Research Coordinator Skills Program
Clinical Research Coordinator Skills Program Vital Signs This Skill Requires Provider direction Standard Precautions Using purell before and after contact with the patient or the patient s environment
More informationHow To Measure Vital Signs
How To Measure Vital Signs How to Use This Tutorial This tutorial is intended for healthcare providers or students to teach basic vital signs skills Use the navigation buttons below to move through the
More informationHow to Measure Vital Signs
How to Measure Vital Signs Caregiving Series: Volume 10 Objectives Upon completion of this training, participants will understand: The definitions of temperature, pulse, respiration and blood pressure
More informationMeasuring Vital Signs. Copyright 2014, 2009 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Measuring Vital Signs Copyright 2014, 2009 by Saunders, an imprint of Elsevier Inc. All rights reserved. Five Vital Signs Temperature, pulse, respiration, blood pressure, and pain Vital signs give indications
More informationChief Complaint lthe major sign and/or symptom reported by the patient lsymptoms Problems or a patient reports
1 2 3 4 5 6 7 Chapter 8 Baseline Vital Signs and SAMPLE History Baseline Vital Signs and SAMPLE History lassessment is the most skill learn. lduring assessment you will: Gather key information. Evaluate
More informationVital Signs. Provide information about body function Include: Changes may be the first sign of disease Accuracy is imperative!
Provide information about body function Include: temperature pulse respiration blood pressure Changes may be the first sign of disease Accuracy is imperative! 2 Temperature Measurement of the balance between
More information#6 - Cardiovascular III Heart Sounds, Pulse Rate, Hemoglobin Saturation, and Blood Pressure
#6 - Cardiovascular III Heart Sounds, Pulse Rate, Hemoglobin Saturation, and Blood Pressure Objectives: Observe slide of artery and vein cross-section Auscultate heart sounds using a stethoscope Measure
More informationVital Signs and Oxygen Administration
Vital Signs and Oxygen Administration By Dr. Mohsen Dashti Patient Care and Management (202) May-9-2010 Vital Signs and Oxygen Administration What are the vital signs? Why do we need to know them? How
More informationCardiac Emergencies. Jim Bennett Paramedic and Clinical Education Coordinator American Medical Response Spokane, Washington
Cardiac Emergencies Jim Bennett Paramedic and Clinical Education Coordinator American Medical Response Spokane, Washington The Heart -------Aorta Pulmonary Veins---- Superior Vena Cava------ Right Atrium-----
More informationPercussion These 4 techniques are the foundation of the physical exam. Respiration Blood pressure Body
1 Chapter 11: Physical Exam Techniques 2 Introduction Although patient assessment formally starts with the, the physical examination actually begins when you first set eyes on your patient. The purpose
More informationPART I: HEART ANATOMY
Lab 7: Heart Sounds and Blood Pressure PART I: HEART ANATOMY a) You should be able to identify the following structures on an adult human heart diagram. the 4 chambers the bicuspid (mitral) and tricuspid
More informationPhysiological Measurements Training for Care/Nursing & LD Small Group Home Staff
Physiological Measurements Training for Care/Nursing & LD Small Group Home Staff CONTENTS 1. The National Early Warning Score 2. Respiratory Rate 3. Oxygen Saturations 4. Temperature 5. Blood Pressure
More informationVital Signs. Temperature. Pulse. Respirations. Blood Pressure. O2 Saturation
Vital Signs Temperature Pulse Respirations Blood Pressure O2 Saturation Vital Signs Temperature, pulse, respiration, blood pressure (B/P) & oxygen saturation are the most frequent measurements taken by
More informationChapter 29 1/8/2018. Vital Signs. Measuring and Reporting Vital Signs. Key Terms
Chapter 29 Vital Signs Key Terms Blood pressure Body temperature Diastolic pressure Hypertension Hypotension Pulse Pulse rate Respiration Sphygmomanometer Stethoscope Systolic pressure Vital signs Measuring
More informationHuman Cardiovascular Physiology: Blood Pressure and Pulse Determinations
ighapmlre33apg269_274 5/12/04 3:10 PM Page 269 impos03 302:bjighapmL:ighapmLrevshts:layouts: NAME Human Cardiovascular Physiology: Blood Pressure and Pulse Determinations LAB TIME/DATE REVIEW SHEET exercise
More informationRespiratory Emergencies. Chapter 11
Respiratory Emergencies Chapter 11 Respiratory System Anatomy and Function of the Lung Characteristics of Adequate Breathing Normal rate and depth Regular breathing pattern Good breath sounds on both sides
More informationTaking and recording blood pressure and pulse. City Gate Training Centre all rights reserved
Taking and recording blood pressure and pulse City Gate Training Centre all rights reserved Course Content: Definition of Blood Pressure Normal Blood Pressure Readings Systolic and Diastolic Blood Pressure
More informationAirway and Ventilation. Emergency Medical Response
Airway and Ventilation Lesson 14: Airway and Ventilation You Are the Emergency Medical Responder Your medical emergency response team has been called to the fitness center by building security on a report
More informationMeasuring body temperature, blood pressure, pulse, respiratory rate and oxygen saturation
Vital Signs Measuring body temperature, blood pressure, pulse, respiratory rate and oxygen saturation Aims To ensure that students are able to demonstrate the safe and correct technique for setting up
More informationChapter 11: Respiratory Emergencies
29698_CH11_ANS_p001_005 4/12/05 2:02 PM Page 1 Answer Key Chapter 11 1 Chapter 11: Respiratory Emergencies Matching 1. B (page 373) 8. E (page 370) 2. D (page 369) 9. M(page 389) 3. H (page 370) 10. A
More informationVital Signs. 1. Define important words in this chapter. 2. Discuss the relationship of vital signs to health and well-being
84 13 Vital Signs 1. Define important words in this chapter 2. Discuss the relationship of vital signs to health and well-being 3. Identify factors that affect body temperature 4. List guidelines for taking
More informationCan be felt where an artery passes near the skin surface and over a
1 Chapter 14 Cardiovascular Emergencies 2 Cardiovascular Emergencies Cardiovascular disease has been leading killer of Americans since. Accounts for 1 of every 2.8 deaths Cardiovascular disease (CVD) claimed
More informationCardiovascular System
Cardiovascular System angio BELLWORK Day One: Define using technology hemo/hema cardio Medical Therapeutics Standards 11) Outline the gross normal structure and function of all body systems and summarize
More informationAmbulatory Services Orientation & Skill Review Skill Performance Checklist: Vital Signs. Name: Date:
Evaluation Levels Behavior Level 3 Met Performed all skills competently. No behaviors omitted. Level 2 Satisfactory Omitted no more than three (3) non-critical behaviors. Level 1 Unsatisfactory Omitted
More informationVITAL SIGNS. Academic Success Center
VITAL SIGNS Academic Success Center Because of the importance of these measurements they are referred to as Vital Signs. They are important indicators of the body s response to physical, environmental,
More informationBIOE221. Session 2. Vital Signs. Biosciences Dept.
BIOE221 Session 2 Vital Signs Biosciences Dept. www.endeavour.edu.au Session Objectives cont o Understand the physiology related to the vital signs of temperature, pulse, respiration and blood pressure.
More informationChapter 14 Cardiovascular Emergencies Cardiovascular Emergencies Cardiovascular disease has been leading killer of Americans since.
1 2 3 4 5 Chapter 14 Cardiovascular Emergencies Cardiovascular Emergencies Cardiovascular disease has been leading killer of Americans since. Accounts for 1 of every 2.8 deaths Cardiovascular disease (CVD)
More informationAMERICAN ASSOCIATION OF SLEEP TECHNOLOGISTS TECHNICAL GUIDELINE FOR PATIENT ASSESSMENT AND VITAL SIGNS MEASUREMENT AND DOCUMENTATION
AMERICAN ASSOCIATION OF SLEEP TECHNOLOGISTS TECHNICAL GUIDELINE FOR PATIENT ASSESSMENT AND VITAL SIGNS MEASUREMENT AND DOCUMENTATION SUMMARY: Sleep technologists observe and monitor physical signs and
More informationActivity Vital Signs: Heart Rate and Blood Pressure
Activity 8.1.2 Vital Signs: Heart Rate and Blood Pressure Introduction The human body is an amazing machine that automatically monitors and adjusts itself in order to maintain equilibrium or homeostasis.
More informationTechniques of Vital Signs. John Gazewood, MD, MSPH Department of Family Medicine
Techniques of Vital Signs John Gazewood, MD, MSPH Department of Family Medicine Objectives Define normal in several ways. Describe correct technique of measuring vital signs. Describe correct technique
More informationPeripheral Vascular Examination. Dr. Gary Mumaugh Western Physical Assessment
Peripheral Vascular Examination Dr. Gary Mumaugh Western Physical Assessment Competencies 1. Inspection of upper extremity for: size symmetry swelling venous pattern color Texture nail beds Competencies
More informationChapter 24 Vital Signs. Copyright 2011 Wolters Kluwer Health Lippincott Williams & Wilkins
Chapter 24 Vital Signs Vital Signs Temperature Pulse Respiration Blood pressure When to Assess Vital Signs Upon admission to any healthcare agency Based on agency institutional policy and procedures Anytime
More informationPancreas: digestive enzymes Liver: bile-helps to digest fat, stored in gallblader; breaks down toxins, makes some parts of blood
1 2 3 Pancreas: digestive enzymes Liver: bile-helps to digest fat, stored in gallblader; breaks down toxins, makes some parts of blood 4 5 6 7 8 9 10 Highlights: - A pulse consists of two phases: contraction
More informationPulse. Assess for the following:
Vital Signs Overview LOC = AVPU Pulse Respiration's Blood Pressure Lung Sounds Skin: Color, Texture, Temperature Pupils = Equal, Reactive to Light with Accomodation Pulse Assess for the following: Rate
More informationEMT. Chapter 8 Review
EMT Chapter 8 Review 1. During the scene size-up, you should routinely determine all of the following, EXCEPT: A. the mechanism of injury or nature of illness. B. the ratio of pediatric patients to adult
More informationBayfield-Ashland Counties EMS Council Pediatric Protocol PP-001 PREHOSPITAL CARE GUIDELINE
INTRODUCTION: Pediatric emergencies may present a daunting challenge to prehospital care providers for a variety of reasons including: 1. The historical scarceness of primary training materials about the
More informationSARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE. MEASURING BLOOD PRESSURE - MANUAL (equ04)
SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE TITLE: ISSUED FOR: MEASURING BLOOD PRESSURE - MANUAL Nursing DATE: REVIEWED: PAGES: 2/80 7/17 1 of 5 RESPONSIBILITY: RN, LPN, Patient Care Technician Multi-skilled
More informationAnatomy Review. Anatomy Review. Respiratory Emergencies CHAPTER 16
CHAPTER 16 Respiratory Emergencies Anatomy Review Anatomy Review 1 Pediatric Anatomy Airway structure differences Proportionally larger tongue Smaller, more flexible trachea Abdominal breathers Reasons
More informationVAO BASIC SUPPORT CLINICAL APPROACH TO THE PATIENT HANDOUT
CLINICAL APPROACH TO THE PATIENT HANDOUT 1 I am the most important part of patient care. How can you expect to treat a patient appropriately if you don t follow through on basic primary care? Remember:
More informationRespiratory Emergencies
CHAPTER 16 Respiratory Emergencies Anatomy Review Anatomy Review Pediatric Anatomy Airway structure differences Proportionally larger tongue Smaller, more flexible trachea Abdominal breathers Reasons for
More informationCardiovascular System
Cardiovascular System BELLWORK: Define using technology angio hemo/hema cardio brady as in bradycardia tachy as in tachycardia Standards 8) Outline basic concepts of normal structure and function of all
More informationAssessment of the Adolescent, Pre-Teen, and Teen Student for School Nurses
Assessment of the Adolescent, Pre-Teen, and Teen Student for School Nurses KIMBERLY RICHARDS RN, BSN CLINICAL UNIT LEADER NOVANT HEALTH MATTHEWS MEDICAL CENTER MEDICAL SURGICAL/HOSPICE ONCOLOGY Agenda
More informationa central pulse located at the apex of the heart Apical pulse Apical-radial pulse a complete absence of respirations Apnea
Afebrile absence of a fever Apical pulse a central pulse located at the apex of the heart Apical-radial pulse measurement of the apical beat and the radial pulse at the same time Apnea a complete absence
More informationObjectives. Case Presentation. Respiratory Emergencies
Respiratory Emergencies Objectives Describe how to assess airway and breathing, including interpreting information from the PAT and ABCDEs. Differentiate between respiratory distress, respiratory failure,
More informationFIRST AID WRITTEN EXAM. Team Name: 1. Participation in a critical incident stress debriefing (CISD) is mandatory. a. TRUE b. FALSE
2015 NEW IBERIA MINE RESCUE CONTEST FIRST AID WRITTEN EXAM Name: Date: 1. Participation in a critical incident stress debriefing (CISD) is mandatory. 2. The use of accessory muscles in the chest, abdomen
More informationLecture #3 - Blood Pressure Recording Procedure. Equipment
Lecture #3 - Blood Pressure Recording Procedure CKiD Blood Pressure Training Equipment Mabis Medic-Kit aneroid sphygmomanometer Mabis Medic-Kit assortment of cuff sizes Stethoscope with bell (pediatric
More informationBio& 242, Unit 3/ Lab 4 Blood Vessels, Lymphatic System and Blood Pressure G. Blevins/ G. Brady Summer 2009
Bio& 242, Unit 3/ Lab 4 Blood Vessels, Lymphatic System and Blood Pressure G. Blevins/ G. Brady Summer 2009 Major Arteries and for arteries and veins with common names your answer must include either artery
More informationAppendix E Choose the sign or symptom that best indicates severe respiratory distress.
Appendix E-2 1. In Kansas EMT-B may monitor pulse oximetry: a. after they complete the EMT-B course b. when the service purchases the state approved pulse oximeters c. when the service director receives
More informationChapter 7 EMERGENCY PLAN AND INITIAL INJURY EVALUATION
Chapter 7 EMERGENCY PLAN AND INITIAL INJURY EVALUATION Major Concepts. Proper planning of an emergency response is essential for appropriate first aid management of an injury. Anything that can be done
More informationQuick review of Assessment. Pediatric Medical Assessment Review And Case Studies. Past Medical History. S.A.M.P.L.E. History is a great start.
EMS Live at Night January 12 th, 2010 Pediatric Medical Assessment Review And Case Studies Brian Rogge RN Northwest Medstar Pediatric/Perinatal Team Quick review of Assessment S.A.M.P.L.E. History is a
More informationPediatric Advanced Life Support
Pediatric Advanced Life Support Pediatric Chain of Survival Berg M D et al. Circulation 2010;122:S862-S875 Prevention Early cardiopulmonary resuscitation (CPR) Prompt access to the emergency response system
More informationBLOOD PRESSURE ASSESSMENT
BLOOD PRESSURE ASSESSMENT Course Principles of Health Science Unit X Vital Signs Course Health Science Unit VI CPR / AED & First Aid Essential Question How do health care skills help to promote health
More informationLAB 9: Metabolic Rates
LAB 9: Metabolic Rates Introduction: The cardiovascular (circulatory) system functions to deliver oxygen and nutrients to tissues for growth and metabolism, and to remove metabolic wastes. The heart pumps
More informationAnesthesia Monitoring
Anesthesia Monitoring Horatiu V. Vinerean, DVM, DACLAM Anesthesia Monitoring Anesthesia can be divided into four progressive phases. The signs relating to a certain phase are based upon the presence or
More informationAppendix (i) The ABCDE approach to the sick patient
Appendix (i) The ABCDE approach to the sick patient This appendix and the one following provide guidance on the initial approach and management of common medical emergencies which may arise in general
More informationSMALL GROUP SESSION 18A January 17th or January 19th. Groups 1-12: VS and Chest Exam and Harvey Stethophone Session
SMALL GROUP SESSION 18A January 17th or January 19th Groups 1-12: VS and Chest Exam and Harvey Stethophone Session Readings: Complete the cardiac examination web module. Mosby s Physical Examination, 4
More informationSkill Evaluation Sheets
Skill Evaluation Sheets Skill Drill 2-: How to Remove Gloves Skill Drill 4-: Primary Check: RAP-CAB Skill Drill 4-2: Perform a Secondary Check Skill Drill 5-: Adult CPR Skill Drill 5-2: Child CPR Skill
More informationREGION 1 EMERGENCY MEDICAL SERVICES STANDING MEDICAL ORDERS EMT Basic, EMT Intermediate, EMT Paramedic. SMO: Pediatric Assessment Guidelines
REGION 1 EMERGENCY MEDICAL SERVICES STANDING MEDICAL ORDERS EMT Basic, EMT Intermediate, EMT Paramedic SMO: Pediatric Assessment Guidelines Overview: Pediatric patients account for about 10% or less of
More informationVital Signs As Directional Signals by Charles Livesey edited by Julie Aberger
STATE JERSEY NEW The Gold Cross CONTINUING EDUCATION SERIES Vital Signs As Directional Signals by Charles Livesey edited by Julie Aberger EMT Objectives After reading this article, the EMT will be able
More informationIntroduction to Emergency Medical Care 1
Introduction to Emergency Medical Care 1 OBJECTIVES 22.1 Define key terms introduced in this chapter. Slides 10, 14, 19, 37, 39 22.2 Differentiate between the signs and symptoms of an allergic reaction
More information2. Measure a subject's blood pressure and heart rate both at rest and during exercise.
Lab Activity 11 The Cardiovascular System Student Learning Objectives After completing this lab, you should be able to: 1. Define, explain and correctly use the key terms. 2. Measure a subject's blood
More informationMASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH OFFICE OF EMERGENCY MEDICAL SERVICES Basic EMT Practical Examination Cardiac Arrest Management
Basic EMT Practical Examination 6.0 - Cardiac Arrest Management Station 1 RESUSCITATION & DEFIBRILLATION No Point WHILE FUNCTIONING AS FIRST RESCUER: Point 1. Verbalizes or takes body substance isolation
More informationChapter 11 - The Primary Assessment
Introduction to Emergency Medical Care 1 OBJECTIVES 11.1 Define key terms introduced in this chapter. Slides 11 12, 14, 19 21, 28 11.2 Explain the purpose of the primary assessment. Slides 11 13 OBJECTIVES
More informationPatient Assessment. Chapter 8
Patient Assessment Chapter 8 Patient Assessment Scene size-up Initial assessment Focused history and physical exam Vital signs History Detailed physical exam Ongoing assessment Patient Assessment Process
More informationVITAL SIGNS AND PHYSICAL EXAMINATION OF THE CHEST Eve Bargmann, MD 9/22/03
VITAL SIGNS AND PHYSICAL EXAMINATION OF THE CHEST Eve Bargmann, MD 9/22/03 Objectives: 1. To understand normal 2. To introduce examination of vital signs, pulses and the chest 3. To relate anatomy to physical
More informationProtocol 4: Measuring Blood Pressure
Zool 430L Protocols Page 8 of 12 Protocol 4: Measuring Blood Pressure 4.1 Via Auscultation (listening through stethoscope) The estimate of blood pressure is obtained by cutting off blood flow with a known
More informationIRECA BLS Challenge 2015 Scenario 1
Scenario 1 Team Name Team Number Captain Name Judge 1 # Judge 2 # JUDGE S SHEET Overview: This scenario challenges the competitors to use basic triage techniques and then to do the most good for the most
More informationEmergency Medical Training Services Emergency Medical Technician Basic Program Outlines Outline Topic: Shock Revised: 11/2013
Emergency Medical Training Services Emergency Medical Technician Basic Program Outlines Outline Topic: Shock Revised: 11/2013 DEFINITIONS Aerobic metabolism is energy using oxygen into cells. Anaerobic
More informationPhysiology of the Circulatory System modified from
Physiology of the Circulatory System modified from http://www.ekcsk12.org/science/aplabreview/aplab10.htm Introduction The circulatory system functions to deliver oxygen and nutrients to tissues for growth
More informationTrauma Life Support Pre-Hospital (TLS-P) Preparatory Materials
Trauma Life Support Pre-Hospital (TLS-P) Preparatory Materials 1 1. A high-risk bodily fluid for spreading infection is blood. 2. Items that can reduce the spread of infection include masks, gloves, and
More informationMEASURING AND RECORDING PATIENT VITAL SIGNS
MEASURING AND RECORDING PATIENT VITAL SIGNS ABSTRACT: Vital sign measurements are effective tools to assess if a patient is ill. They are quick, simple measurements and reliable indicators of a person
More informationfollowing: the readout..
Read Me Vital Signs In-Lab Guide We will be studying 5 concepts in lab 1. Study the anatomy of the Intrinsic Conduction System using heart models. 2. Study the ECG tracings, including the following: -
More informationPLANK 1 Direct Care Staff Trained in Accurate BP Measurement
Direct Care Staff Trained in Accurate BP Measurement 1. 2. 3. 5. 22 to 26 cm Small adult (12X22 cm) 27 to 34 cm Adult (16X30 cm) 35 to 44 cm Large adult (16X36 cm) 45 to 52 cm Adult thigh (16X42 cm) widths
More informationSMALL GROUP SESSION 19 January 30 th or February 1st. Groups 1-12: Cardiac Case and Cardiac Exam Workshop
SMALL GROUP SESSION 19 January 30 th or February 1st Groups 1-12: Cardiac Case and Cardiac Exam Workshop Readings: Complete the cardiac examination tutorial on the POM1 web site. Optional: http://medicine.ucsd.edu/clinicalmed/heart.htm
More information37 1 The Circulatory System
H T H E E A R T 37 1 The Circulatory System The circulatory system and respiratory system work together to supply cells with the nutrients and oxygen they need to stay alive. a) The respiratory system:
More informationSMALL GROUP SESSION 13 December 1 st or December 3 rd
SMALL GROUP SESSION 13 December 1 st or December 3 rd Vital Signs/Chest Exam & Clinical Case Discussion Suggested Readings: Complete online physical examination module and quiz. Review Mosby s Guide to
More informationCAMOSUN COLLEGE BIOLOGY 144 (2010) LABS
LAB 8: CARDIOVASCULAR PHYSIOLOGY PART 1. HEART SOUNDS AND PULSE DETERMINATIONS Introduction Two distinct sounds can be heard during each cardiac cycle. These sounds are commonly described as lub and dup
More informationEmergency First Response (EFR) Skills Assessment Sheets V4 June 2017
Emergency First Response () Skills Assessment Sheets V4 June 2017 Airway management & ventilation Airway management & ventilation Trauma jaw thrust 1 Hand positions 2 Perform jaw thrust / mouth open 3
More informationDaniel A. Beals MD, FACS, FAAP Pediatric Surgery and Urology Community Medical Center Associate Professor of Surgery and Pediatrics University of
Daniel A. Beals MD, FACS, FAAP Pediatric Surgery and Urology Community Medical Center Associate Professor of Surgery and Pediatrics University of Washington Seattle Children s Hospital Objectives Define
More informationLab #10 Physiology of the Circulatory System
Lab #10 Physiology of the Circulatory System Introduction The circulatory system functions to deliver oxygen an nutrients to tissues for growth and metabolism, and to remove metabolic wastes. The heart
More informationChapter 08. Health Screening and Risk Classification
Chapter 08 Health Screening and Risk Classification Preliminary Health Screening and Risk Classification Protocol: 1) Conduct a Preliminary Health Evaluation 2) Determine Health /Disease Risks 3) Determine
More informationAnaesthesia for ECT. Session 2. Dr Richard Cree Consultant in Anaesthesia & ICU. Roseberry Park Hospital and The James Cook Hospital, Middlesbrough
Anaesthesia for ECT Session 2 Dr Richard Cree Consultant in Anaesthesia & ICU Roseberry Park Hospital and The James Cook Hospital, Middlesbrough Anaesthesia for ECT CHAPTERS 5. Monitoring 6. Patient care
More informationIntroduction. Topics. Seattle/King County EMT-B Class. EMS Online. Class schedule Message board Lecture presentations
Seattle/King County EMT-B Class Introduction EMS Online http://www.emsonline.net/emtb Class schedule Message board Lecture presentations Topics Airway Management: Chapter 7 Patient Assessment: Chapter
More information1 Chapter 13 Respiratory Emergencies 2 Respiratory Distress Patients often complain about. Shortness of breath Symptom of many different Cause can be
1 Chapter 13 Respiratory Emergencies 2 Respiratory Distress Patients often complain about. Shortness of breath Symptom of many different Cause can be difficult to determine. Even for physician in hospital
More information