Patient Assessment/Management- Trauma

BSI (Body Substance Isolation)

Determine if the scene is safe

Determine the MOI (Mechanism of Injury)

Determine number of patients

Request additional help if necessary (put ALS on standby)

Consideration spinal stabilization (ask the patient if they fell or hit their head)

Verbalize general impression of the patient

Determines responsiveness/LOC (AVPU --> CAO)

Determine chief complaint/apparent life threats (deal with immediate threats to the airway)

Assess airway and breathing: assess RRQ (rate, rhythm, quality) of breathing via LLF (look, listen, and feel); initiate appropriate O₂ therapy; assure adequate ventilation; injury management

Assess circulation: assess/control major bleeding; assess pulse RRQ; assess skin CTC (color, temperature, condition); treat for shock

Identify priority patients/make transport decision (most often "load and go" with trauma patients)

Selects appropriate assessment (focused or rapid); most often "rapid" aka blood sweep

Obtains baseline vitals signs

Obtains SAMPLE history, if possible (Signs/symptoms, Allergies, Medications, Past history, Last oral intake, Event leading to chief complaint)