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BASIC PATIENT ASSESSMENT

    2.   Inspect & Palpate Neck
          a.   Assess C-Spine from Base of Skull to Top of Back
          b.   Assess Neck Veins and Tracheal Alignment

     3.   Inspect, Palpate & Auscultate Chest
           a.   Expose Chest
           b.   Inspect & Palpate Sternum and Xyphoid Process
           c.   Inspect & Palpate Ribs
           d.   Auscultate for Breathing Sounds
                1.   Bilaterally
                2.   Mid-Axillary Line

     4.   Expose and Palpate Abdomen and Inspect
           a.   Expose Abdomen & Inspect
           b.   Palpate All FOUR (4) Quadrants

     5.   Expose & Assess Genitalia if injury suspected in that area

     6.   Inspect & Palpate Pelvic Region
           a.   Expose Pelvic Area
           b.   Inspect Pelvic Area
           c.   Perform Pelvic Squeeze
           d.   Perform Pelvic Rock

     7.   Inspect & Palpate Lower Extremities
           a.   Expose Leg Nearest You
           b.   Inspect Leg
           c.   Palpate from Hip to Toes
           d.   Assess Distal (Pedal) Pulse & Capillary Refill
           e.   Assess Sensory & Motor Function
            f.   Repeat for other Leg
           g.   Compare Distal Pulse in Lower Extremities

     8.   Inspect & Palpate Upper Extremities
           a.   The Arm in which vital sighns were taken has perviuosly been                                 Assessed
           b.   Move to the other Arm & Expose
           c.   Inspect and Palpate Arm
           d.   Assess Distal (Radial) Pulse
           e.   Assess Sensory Function
            f.   Assess Motor Function
           g.   Compare Distal Pulses in Upper Extremities
    
     9.   Inspect & Palpate Back of Torso
           a.   Log Roll Patient TOWARD EMT
           b.   Expose & Inspect BACK
           c.   Palpate BACK
                 1.   Back of Head
                 2.   Scapula
                 3.   Spine
                 4.   Right & Left Flanks
                 5.   Buttocks
                 6.   Back of Legs
                 7.   Auscultate for Breath Sounds
                       a.   Bilaterally
                       b.   Under each Scapula
   
    10.   Log Roll Patient Back to the Supine Position

    11.   Transport Patient to Hospital while Monitoring Vital Signs & Overall                         Condition
BASIC PATIENT ASSESSMENT

A.   PRIMARY SURVEY

     1. Don gloves for own protection
   
     2. Assess the scene safe (enviroment)
   
     3. Open Airway   (A)
         a.   Use the head-tilt chin-lift maneuver
         b.   Look in mouth for possible obstructions
         c.   Measure and insert oropharyngeal airway (OLD)
   
     4.  Assess Breathing   (B)
         a.   Expose patient's chest
         b.   Look, Listen, & Feel
         c.   Note characteristics
   
     5.  Assess Circulation   (C)
         a.   Palpate Carotid Artery
         b.   While Palpating Pulse, Place back of hand nearest head on                         Patient's Forehead & Assess Skin
         c.   Note Characteristics of Pulse
         d.   Note Characteristics of Skin
         e.   Assess Distal Pulse & Capillary Refill in Arm Nearest You
          f.   Scan the Patients Body for Arterial Bleeding
     
     6.   Assess for Disability   (D)
           a.   Use AVPU


          


           b.   Assess Pupils for PERRLA








     7.   Expose Body as necessary & Assess
           for Medical Alert Tags

     8.   Obtain Patient's Vital Signs
           a.   Expose & Look at Arm
           b.   Palpate Arm
           c.   Count Pulse
           d.   Measure Blood Pressure

B.   If able, obtain Patient's History

     1.   From Patient if alert & oriented
     2.   From Family member
     3.   From Bystander / First Responder
     4.   Use the Nmemonic AMPLE







C.   Determine Patient's Status

     1.   Life Threatening Conditions
           MUST be transported
           immediately 
     2.   Non-Life Threatening Conditions
           remain in Field for Secondary Survey

D.   SECONDARY SURVEY

     1.   Inspect & Palpate the Head
          a.   Scalp
          b.   Forehead
          c.   Orbits
          d.   Nose
          e.   Zygoma
           f.   Maxilla
          g.   Mandible
          h.   Look in Nose for Drainage
           i.   Look in Ears for Drainage
           j.   Look in Mouth for Obstructions
It was asked a couple years ago if one could teach Basic Patient Assessment to the civilians?
My response was, Yes. It is not something one looks forward to do but if needed a
Basic Survey Handout could slammed together. Break Glass in case of Emergency
A - ALERT
V - VERBAL
P - PAIN
U - UNRESPONSIVE
P - PUPILS
E - EQUAL
R - ROUND
R - REACTIVE TO
L - LIGHT &
A - ACCOMODATION
A - ALLERGIES
M - MEDICATIONS
P - PREVIOUS ILLNESS
L - LAST MEAL OR DRINK
E - EVENTS PRECEEDING
     ILLNESS OR INJURY
STUDENT HANDOUT J3AQR90230-003-111-3

11/12
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