1. EMT-B County Skill Patient Assessment (Medical) 30 points
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30 points

2. The Scene (6 points)
You pull up on the scene in front of 142 Fembrokur Ave. You arrive to find a man in his thirties sitting against a wall. Before exiting the rig you do what?
You take BSI precautions. Describe your next steps.
Determine the scene is safe
Determine NOI or MOI
Determine number of patients
Request additional help if needed
Consider stabilization of spine

3. Initial Assessment (3 points)
As you approach the patient you do what?
Form a general impression
Determine responsiveness – Level of consciousness (AVPU)
Determine Chief complaint – apparent life threats

4. Initial Assessment cont… (7 points)
Continuing your assessment, you should access what?
Assessment
Indicates appropriate O2 therapy
Assures adequate ventilation
Assess Airway and Breathing
Assesses – controls major bleeding
Assesses pulse
Assess Skin (Color, temp, condition)
Assess Circulation
Identifies patient priorities and makes transport decision

5. Focused History and Physical Exam – Rapid assessment (1 point)
Signs and symptoms, Assess history of present illness.
Allergic Reaction
History of allergies?
What were you exposed to?
How were you exposed?
Progression?
Interventions?
Respiratory
OPQRST?
Interventions?
Cardiac
OPQRST?
Interventions?
Altered Mental Status
Description of the episode.
Onset? Duration?
Associated symptoms?
Evidence of trauma?
Interventions?
Seizures, Fever?

6. Focused History and Physical Exam – Rapid assessment Cont…
Signs and symptoms, Assess history of present illness.
Poisoning Overdose
Substance?
When did you ingest/ become exposed?
Over what time period?
Interventions?
Estimated weight?
Environmental emergency
Source?
Environment?
Duration?
Loss of consciousness
General or local effects?
Obstetrics
Are you pregnant?
How many weeks pregnant?
Pain or contractions?
Bleeding or discharge?
Feel the need to push?
Last menstrual period?
Behavioral
How do you feel?
Suicidal tendencies?
Patient threat to self or others?
Medical problem?
Interventions?

7. Focused History and Physical Exam – Rapid assessment Cont… (6 points)
After signs and symptoms, what other patient history should be obtained?
Any known Allergies?
Medications?
Past pertinent history
Last oral intake
Events leading to present illness – Rule out trauma
After taking history: Performs focused physical examination – Assesses affected body part or system. If indicated completes rapid assessment.

8. Assessment cont… (4 points)
Following physical exam, what should be done?
Vitals – Baseline vitals
Interventions – Obtains medical direction or verbalizes standing orders for medication interventions and verbalizes proper additional intervention and treatment.
Transport – reevaluates the transport decision
Verbalizes the consideration for completing a detailed physical examination.

9. Ongoing assessment – Reassessment (3 points)
As an ongoing assessment you should re-check what?
Repeats initial assessment
Repeats vital signs
Repeats focused assessment – regarding patient complaint or injuries