Shared Flashcard Set

Details

patient assessments
EMT- chapters 8,9,10,11, and 12 medical vs trauma
47
Medical
Not Applicable
09/12/2010

Additional Medical Flashcards

 


 

Cards

Term
ABC's
Definition
Airway, Breathing, and Circulation.
Term
AVPU
Definition

checks the level of responsiveness. 

A-alert

V-responds to verbal stimuli 

P-responds to painful stimuli

U-unresponsive

Term
bradycardia
Definition
a slow pulse, any pulse rate below 60 beats per minute
Term
chief complaint
Definition
in emergency medicine, the reason EMS was called, usually in the patients own words.
Term
general impression
Definition
impression of the patient's condition that is formed on first approaching the patient, based on the patient's environment, chief complaint and appearance.
Term
initial assessment
Definition
the first element in assessment of a patient; steps taken for the purpose of discovering and dealing with any life threats.
Term
interventions
Definition
actions taken to correct a patients problems
Term
mental status
Definition
level of responsiveness
Term
priority
Definition
the decision regarding the need for immediate transport of the patient versus further assessment an care at the scene
Term
auscultation
Definition
listening. stethoscope is used to auscultate for characteristic sounds
Term
oxygen saturation
Definition
the ratio of the amount of oxygen present in the blood to the amount that could be carried.
Term
palpation
Definition
feeling or touching
Term
pulse oximeter
Definition
an electronic device for determining the amount of oxygen carried in the blood, AKA oxygen saturation
Term
pulse quality
Definition
the rhythm and force. is it regular/irregular? is is strong/weak?
Term
pulse rate
Definition
the number of pulse beats per minute
Term
reactivity
Definition
in the pupils of the eyes, reacting to light by changing size
Term
respiratory quality
Definition
normal or abnormal? (shallow, labored or noisy)
Term
SAMPLE history
Definition
S-signs and symptoms
A-allergies
M-medications
P-pertinent medical history
L-last oral intake
E-events leading to the incident
Term
sign
Definition
can be observed
Term
symptom
Definition
cannot be observed, more than likely expressed from the person
Term
tachycardia
Definition
a rapid pulse, any pulse rate above 100 beats.
Term
vital signs
Definition
outward signs of what is going on inside the body.
Term
colostomy 
Definition
colostomy bag.
Term
crepitation
Definition
the grating sound or feeling of broken bones rubbing together
Term
DCAP-BTLS
Definition

-D-deformities

-C-contusions

-A-abrasions

-P-penetrations/punctures

-B-burns

-T-tenderness

-L-lacerations 

-S-swelling

Term
detailed physical exam
Definition
assessment of the head, neck, chest, abdomen, pelvis, extremities, and posterior of the body to detect signs and symptoms of injury.  
Term
distention
Definition
a condition of being stretched, inflated, or larger than normal.
Term
focused history and physical exam
Definition
the step of patient assessment that follows the initial assessment 
Term
jugular vein distention (JVD)
Definition
bulging of the neck veins 
Term
paradoxical motion
Definition
movement of a part of the chest in the opposite direction of the rest of the chest during respirations. Flail chest
Term
priapism 
Definition
persistent erection of the penis that may result from spinal injury and some medical problems 
Term
rapid trauma assessment
Definition
a rapid assessment of the neck, head, chest, abdomen, pelvis, extremities and posterior of the body to detect signs and symptoms of the injury
Term
stoma
Definition
a permanent surgical opening in the neck through which the patient breathes 
Term
tracheostomy 
Definition
a surgical incision held open by a metal or plastic tube.
Term
trauma patient
Definition
a patient suffering from one or more physical injuries 
Term
ileostomy
Definition
collects excretions of the digestive system
Term
focused history and physical exam --trauma patient with no significant mechanism of injury 
Definition

 

1. reconsider the mechanism of injury

2. perform focused physical exam based on chief complaint and mechanism of injury.

3. assess baseline vital signs

4. obtain a SAMPLE history 

Term

focused history and physical exam --trauma patient 

Definition
Term

focused history and physical exam --trauma patient with a significant mechanism of injury 

Definition

1. reconsider the mechanism of injury

2. continue manual stabilization of head and neck

3. consider requesting advanced life support personnel 

4. reconsider transport decision 

5. reassess mental status 

6. perform rapid trauma assessment 

7. assess baseline vitals

8. obtain a SAMPLE history 

 

Term

physical exam

-HEAD-

Definition
check for DCAP-BTLS and crepitation 
Term

physical exam 

-NECK-

Definition
Check for DCAP-BTLS and jugular vein distention and crepitation 
Term

physical exam

-CHEST-

Definition
Check for DCAP-BTLS and paradoxical motion, crepitation, and breath sounds.
Term

physical exam

-ABDOMEN-

Definition
check for DCAP-BTLS and for firmness, softness, and distention 
Term

physical exam

-PELVIS-

Definition
check for DCAP-BTLS and pain tenderness and motion
Term

physical exam

-EXTREMITIES- 

Definition
check for DCAP-BTLS and distal pulse, motor function and sensation
Term
ongoing assessment 
Definition
a procedure for detecting changed in a patients condition
Term
trending
Definition
changes in a patients condition over time.
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