Page 11 - EMS Handbook
P. 11

b.​      ​If the patient isn't responding to ​CPR​ ​consider using an ​AED (automated external
              defibrillator).


              Initial Assessment:
              1.​       ​Verbalize your general impression of the patient, what injuries do you see?
              2.​       ​What is there​ ​L.O.C (level-of-consciousness)​?​ Ask them the following questions:
                     a.​      ​"What's your name?"
                     b.​      ​"Do you know where you are right now?"
                     c.​       ​"Do you know what day it is?"
                     d.​      ​"Do you know what year it is?"
                     e.​       ​"Do you know what happened?"
              3.​       ​If the patient is unconscious or showing signs of a head injury consider applying a ​C-Collar
              before moving on.
              4.​       ​Is the patient responding to one of the following stimulation:

                               Alert             Responsive and coherent to stimulation
                               Verbal            Responds to verbal stimulation

                               Pain              Responds to pain stimulation
                           Unresponsive          Does ​NOT​ respond to all stimulation
              5.​       ​With a responsive patient ask them what, or where, it hurts as you examine them for further
              injuries.
                     a.​       ​If the patient is in pain they may ask for medication to alleviate the pain. ​DO NOT​ give
              them anything at this point in time as It could unknowingly further endanger the patient's life.
              6.​       ​While conducting your exam perform your​ ​ABC's.
                     A.) Check the Airway​ -- Is there anything obstructing the airway?
                     B.) Check Breathing​ -- Are they breathing regularly?
                     C.) Check Circulation​ -- How is there pulse? Is there skin color or temperature at irregular
              levels?
              7.​       ​While checking their vitals do a ​Blood Sweep​. Are they bleeding anywhere?
                     a.​       ​If you spot blood on the patient identify the source of the bleed.
                     b.​      ​Do they need a ​Tourniquet​ ​or ​Bandage​ ​to help stop it. Apply as needed.
              8.​       ​Do you see or feel any broken bones?
                     a.​       ​Use an ​Air Cast​ for any broken extremities such as arms or legs.
                     b.​      ​Put a ​C-Collar​ on if you suspect any type of neck, spine, or head injury.
                     c.​       ​If a shoulder is dislocated ​DO NOT​ attempt to reset it. Instead immobilize it in a
              comfortable position with a sling.
                             ​i.​      ​A friendly pillow placed between the arm and torso provide appreciated extra
                     comfort for the patient.
              9.​       ​Is the patient in ​Shock​ at this time? Give them a ​Mylar Space Blanket Wrap​ to help conserve
              body heat and aid in calming them down.
                     a.​       ​Shock can be identified in the following ways:
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