Page 13 - EMS Handbook

a.​ ​Do ​NOT​ use the patient's name at any time when radioing information in. This is for
the safety of the patient, you, hospital staff, and the patients extended family.
3.​ ​The EMS member with the patient will be required to take some​ ​Baseline Vitals​ as they ride
onto the Hospital. Check the following vitals and make a record of them.
a.​ ​Blood Pressure
b.​ ​Respiration (rate & quality)
c.​ ​Heart rate (rate & quality)
d.​ ​Skin (color, temperature, & condition)
e.​ ​Pupils ​((PERRL (pupils equal, round, reactive to light))
f.​ ​SPO2 (oxygen saturation)
4.​ ​As, or after, you take vitals get the patients ​S.A.M.P.L.E History​ to better assess what
medications you can or cannot administer to help them.
S​igns & Symptoms What can you see?
What is the chief complaint?
A​llergies What have you come in contact with?
Meds, Insects, Pollen, Food, Latex?

M​edications S.H.O.P​ -- street, herbal, OTC, prescriptions
P​ast Medical History Has this happened before, is this a pre-existing condition?

L​ast Oral Intake When did you eat last? What was it?
Nausea or Vomiting?

E​vents What were you doing when you started to feel this way?

5.​ ​Moving onto a detailed physical examination be sure to check the areas of complaint first
before searching for more possible injuries the patient may not be aware of.
Head Inspect mouth, nose & facial area.
Inspect & ​Palpate (examine with touch)​ scalp & ears.
Assess eyes.

Neck Check position of ​Trachea (the windpipe).
Check ​Jugular Veins (main vein in the neck).
Palpate Cervical Spine (examine neck bones with touch).
*Apply ​C-Collar​ if anything is broken*

Chest Inspect & ​Palpate ​chest.
Auscultate Chest (listen to sounds of heart and lungs).