1. Fire and Rescue Academy Patient Assessment Flow Chart

2. Scene Size-Up Initial Assessment Rapid Trauma AssessmentFocused Assessment Detailed Physical Examination (Assessment) Transport If Not Enroute Already Ongoing Assessment Transfer Patient to Hospital E. R. Staff Patient Assessment Flow Chart

3. Scene Size-Up Determines:  BSI  Scene is safe  MOI/NOI  Number of patients  Need for additional help  Need for spinal stabilization

4. Initial Assessment  Gather general impression of patient  Determine responsiveness  Introduce self and obtain consent  Determine chief complaint/life threats  Assess airway and breathing  Provide O 2 and ventilate as needed  Assess circulation, pulse, skin  Assess for and control bleeding  Control injuries  Identify priority patients and transport decisions

5. Focused Assessment vs. Rapid Trauma Assessment Focused Assessment (Responsive/Minor Trauma) Rapid Trauma Assessment (Unresponsive or Significant MOI) 1. Go to the source of the injury or chief complaint and assess that area 2. Obtain Baseline Vital Signs 3. Obtain SAMPLE/OPQRDT 4. Consider application of cervical collar if not done 5. Re-evaluate transport decision 1. Rapidly assess the entire body for DCAPBTLS 2. Obtain Baseline Vital Signs 3. Obtain SAMPLE 4. Consider application of cervical collar if not in place 5. Re-evaluated transport decision

6. Detailed Physical Examination (Assessment) 1. Assess the entire body for DCAPBTLS by inspection, auscultation, and palpation 2. Manage secondary injuries and any other non-life threats 3. Reassess vital signs

7. Transport if not Enroute Already

8. Ongoing Assessment  Evaluate your interventions  Re-evaluate ABCBSS  Reassess vitals every 5 minutes on critical patients  Reassess vitals every 15 minutes on non-critical patients  Get more patient history (SAMPLE and OPWRST

9. Transfer Patient to Hospital E.R. Staff