Term
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Definition
| Perform a systematic physical examination |
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Term
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Definition
| Deformities, contusions, abrasions, punctures, burns, tenderness, lacerations, swelling |
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Term
| A decrease in blood pressure may indicate? |
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Definition
| Loss of blood, loss of vascular tone and significant arterial constriction, a cardiac pumping problem |
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Term
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Definition
| The increased pressure that is caused along the artery with each contraction of the ventricles (systole) |
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Term
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Definition
| The residual pressure that remains in the arteries during the relaxing phase of the heart's cycle (diastole) when the left ventricle is at rest |
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Term
| Normal Range for Blood Pressure |
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Definition
Adult 90-140 (systolic)
Children (1-8 yrs) 80-110 (systolic)
Infants (newborn to 1 yr) 50-95 (systolic) |
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Term
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Definition
| Blood pressure is lower than normal |
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Term
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Definition
| Blood pressure is higher than normal |
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Term
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Definition
| mechanism of injury- how traumatic injury occurs |
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Term
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Definition
| injury occurs over a broad area and the skin is usually not broken |
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Term
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Definition
| force of the injury occurs at a small point of contact between the skin and the object. The object pierces the skin and creates an open wound that carries a high potential for infection |
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Term
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Definition
| nature of illness-general type of illness the patient is experiencing |
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Term
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Definition
| personal protective equipment |
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Term
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Definition
| protective measures that have been developed by the center for disease control and prevention for use in dealing with objects |
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Term
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Definition
| the process of sorting patients based on the severity of each patients condition |
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Term
| Questions to ask when determining if additional resources are required. |
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Definition
How many pt's are there?
What is the nature of their conditions?
Who contacted EMS?
Does the scene pose a threat to you, your partner or others? |
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Term
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Definition
a method of assessing the pt's level of consciousness using
A Awake and Alert
V Responsive to Vebal stimuli
P Responsive to Pain
U Unresponsive |
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Term
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Definition
tests mental status by checking a patients memory and thinking ability
Does the pt remember? Person(name), Place(current location), Time(current yr, mon, and appx date), Event(what happened to them) |
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Term
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Definition
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Term
| The Glasgow Coma Scale defines what? |
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Definition
| the severity of a pt's brain disfunction. |
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Term
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Definition
| a device that measues the saturation of oxygen to the blood as a percentage |
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Term
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Definition
| provide a digital reading and wave frm of end tidal CO2 Normal range is 35 to 45 mm Hg |
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Term
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Definition
| narrowing of blood vessel |
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Term
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Definition
| upright position in which the patient leans forward onto two arms stretched forward and thrusts the head and chin forward |
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Term
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Definition
| object that can be seen, heard, felt, smelled, or measured |
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Term
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Definition
| breathing that occurs with no assistance |
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Term
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Definition
| subjective findings that the patient feels but that can be identified only by the pt |
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Term
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Definition
| brief history of a pt's condition to determine signs and symptoms, allergies, medications, pertinent past history, last oral intake, and events leading to the injury or illness |
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Term
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Definition
| negative findings that warrant no care or intervention |
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Term
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Definition
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Term
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Definition
| the motion of the chest wall section that is detached in a flail chest; the motion is exactly the opposite of normal motion during breathing |
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Term
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Definition
| Onset, Provocation or Palliation, Quality, Region/radiation, Severity, Timing of Pain |
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Term
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Definition
| tie from injury to definitive care, during which treatment of shock and traumatic injuries should occur because survival potential is best |
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Term
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Definition
| involuntary muscle contractions (spasms) of the abdominal wall in an effort to protect an inflamed abdomen |
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Term
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Definition
the secondary muscles of respiration
include: neck muscles, chest and abdominal muscles |
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Term
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Definition
| to listen to sounds within an organ with a stethoscope |
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Term
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Definition
a method of assessing level of consciousness.
A-alert and awake
V-responsive to verbal stimuli
P-pain
U-unresponsive |
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Term
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Definition
| pressure of circulating blood against the walls of the arteries |
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Term
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Definition
| slow HR, less than 60 beats/min |
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Term
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Definition
| test that evaluates distal circulatory system function by squeezing blood from an area such as the nail bed and watching the speed of its return after releasing the pressure |
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Term
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Definition
| component of air and typically makes up 0.3% of air at sea level, also a waste product exhaled during expiration by the respiratory system |
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Term
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Definition
| reason a patient called for help, also the patients response to the questions "What's wrong?" or "What happened?" |
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Term
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Definition
| a grating or grinding sound caused by fractured bone ends or joints rubbing together, also air bubbles under the skin that produce a crackling sound |
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Term
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Definition
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Term
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Definition
assessment mnemonic
D-deformities
C-contusions,
A-abrasions
P-Punctures
B-burns
T-tenderness
L-lacerations
S-swelling |
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Term
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Definition
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Term
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Definition
| pressure that remains in the arteries during the relaxing phase of the heart's cycle |
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Term
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Definition
| type of physical assessment that is typically performed on pt's who have sustained non-significant mechanisms of injury or on responsive medical pt's. Based on the chief complaint and focuses on one body system or part |
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Term
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Definition
| systematic head-to-toe examination that is performed during the secondary assessment on a pt who has sustained a significant mechanism of injury, is unconscious or in critical condition |
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Term
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Definition
| overall initial impression that determines the priority for pt care, based on pt's surrounding, MOI, s/s and the chief complaint |
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Term
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Definition
| time from injury to definitive care, during which treatment of shock and traumatic injuries should occur because survival potential is best |
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Term
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Definition
involuntary muscle contractions or spasms of the abdominal wall in an effort to protect and inflamed abdomen
a sign of peritonitis |
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Term
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Definition
| a step within the pt assessment process that provides detail about the pt's chief complaint and an account of the pt's s/s |
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Term
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Definition
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Term
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Definition
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Term
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Definition
system to manage disasers and mass- and multiple-casualty incidents
also referred to as incident management system |
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Term
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Definition
| yellow skin or sclera that is caused by liver disease |
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Term
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Definition
| breathing that requires visibly increased effort, characterized by grunting, stridor and use of accessory muscles |
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Term
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Definition
mechanism of injury
the way in which traumatic injuries occur, the forces that act on the body to cause damage |
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Term
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Definition
| flaring out of the nostrils indicating that there is an airway obstruction |
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Term
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Definition
nature of illness
the general type of illness the pt is experiencing |
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Term
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Definition
abbreviation for evaluating a pt's pain
Onset
Provocation
Quality
Region/Radiation
Severity
Timing |
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Term
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Definition
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Term
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Definition
the motion of the chest wall section that is detached in a flail chest
the motion is exactly the opposite of normal motion during breathing |
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Term
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Definition
| circulation of blood within an organ or tissue |
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Term
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Definition
| personal protection equipment |
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Term
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Definition
| negative findings that warrant no care or intervention |
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Term
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Definition
| step within the pt assessment process that identifies and initiates treatment of immediate and potential life threats |
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Term
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Definition
| the pressure wave that occurs as each heartbeat causes a surge in the blood circulating through the arteries |
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Term
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Definition
| an assessment tool that measures oxygen saturation of hemoglobin in the capillary beds |
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Term
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Definition
crackling, rattling breath sound that signals fluid in the air space of the lungs
also called crackles |
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Term
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Definition
step within the pt assessment process that is performed at regular intervals during the assessment process
unstable pt - reassess every 5 min
stable pt- reassess every 15 min |
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Term
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Definition
| the way in which a person responds to external stimuli, including verbal (sound), tactile (touch), and painful stimuli |
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Term
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Definition
| movements in which the skin pulls in around the ribs during inspiration |
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Term
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Definition
| coarse, low-pitched breath sounds heard in pt's with chronic mucus in the upper airways |
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Term
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Definition
Symptoms
Allergies
Medications
Past history
Last oral intake
Events leading to the illness |
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Term
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Definition
| quick assessment of the scene and the surroundings to provide information about scene safety and the MOI or the NOI before you enter and begin pt care |
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Term
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Definition
| systematic physical examination of the pt. The examination may be a systematic full-body scan or a systematic assessment that focuses on a certain area or region of the body often determined through the chief complaint |
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Term
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Definition
| characterized by little movements of the chest wall (reduced tidal volume) or poor chest excursion |
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Term
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Definition
| objective findings that can be seen, heard, felt, smelled or measured |
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Term
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Definition
| upright position in which the pts head and chin are thrust slightly forward to keep the airway open |
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Term
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Definition
| breathing that occurs with no assistance |
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Term
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Definition
| measures developed by the CDC for dealing with objects, blood, bodily fluids and other potential exposure risks of communicable disease |
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Term
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Definition
harsh, high-pitched, crowing inspiration sound, such as the sound often heard in acute laryngeal (upper airway) obstruction
may sound like crowing and be audible without a stethescope |
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Term
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Definition
| presence of air in soft tissues causing a crackling sensation on palpataion |
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Term
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Definition
| subjective findings that the pt feels but that can be identified only by the pt |
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Term
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Definition
| increased pressure in an artery with each contraction of the ventricles |
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Term
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Definition
| rapid heart rate, more than 100 beats/min |
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Term
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Definition
| the amount of air that is moved in or out of the lungs during one breath |
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Term
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Definition
| upright position in which the patient leans forward onto two arms stretched forward and thrusts the head and chin forward |
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Term
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Definition
| narrowing of the blood vessel |
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Term
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Definition
key signs used to evaluate the pts overall condition
respirations, pulse, blood pressure, level of consciousness, skin characteristics |
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Term
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Definition
| sorting pts into priorities |
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Term
| What is the single, critical, important goal of the primary assessment? |
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Definition
| to identify and initiate treatment of immediate or potential life threats |
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Term
| When using the APVU scale what are characteristics of an ALERT pt? |
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Definition
| eyes open spontaneously as you approach, pt appears aware of you, pt follows commands and the eye visually track people |
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Term
| When using the APVU scale what are characteristics of a pt that responds to verbal stimuli? |
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Definition
| eyes do not open but pt is able to respond |
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Term
| When using the APVU scale what are characteristics of a pt that responds to pain? |
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Definition
| moves or cries out in response to painful stimuli |
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Term
| When using the APVU scale what are characteristics of a pt that is unresponsive? |
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Definition
pt does not respond spontaneously to verbal or painful stimuli, pt lacks a cough or gag reflex and the ability to protect their airway
Flacid |
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Term
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Definition
| a number of the populations that exhibit unequal pupils |
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Term
| You must assume that the pt has depressed brain function as a result of central nervous system depression or injury if the pupils react in any of these 5 ways. |
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Definition
Become fixed with no reaction to light
Dilate with intro of a bright light and constrict when the light is removed
React sluggishly
Become unequal in size
Become unequal in size when a bright light is introduced or removed from one eye |
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Term
| A patent airway is an __________ airway |
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Definition
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Term
| Signs of airway obstruction in an unconscious pt |
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Definition
Obvious trauma, blood or other obstruction
Noisy breathing, such as snoring, bubbling, gurgling, crowing (stridor)
Extremely shallow or absent breathing |
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Term
| When assessing breathing you must obtain what information? (4 things) |
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Definition
Respiratory rate
Rhythm, reg or irrg
Quality
Depth (tidal volume) |
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Term
| Where do you check a pulse in pt's older than 1 yr? |
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Definition
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Term
| What are the progressive steps in controlling bleeding? |
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Definition
1. place direct pressure
2. place direct pressure and elevate the extremity if bleeding from arms or legs
3. When direct pressure and elevation aren't successful apply a tourniquet |
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Term
| How long should a rapid scan take? |
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Definition
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Term
| Examples of high priority pt's to be transported immediately (10) |
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Definition
Difficulty breathing
Poor general impression
unresponsive w/no gag or cough reflex
Severe chest pain
Pale skin or other signs of shock
Complicated child birth
Uncontrolled bleeding
Responsive but unable to follow command
Severe pain in any area of the body
Inability to move any part of the body |
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Term
| Loss of vascular tone and sufficient arterial constriction to maintain the necessary pressure even without any actual or fluid loss indicates a decrease in what? |
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Definition
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