Page 14 - EMS Handbook
P. 14

Abdomen // Pelvis      Inspect & ​Palpate​ ​abdomen.
                                          Assess pelvis.
                                          Verbalize assessment of genitalia/perineum as needed.



                   Lower Extremities      Inspect, ​Palpate​ ​& assess motor sensory &​ ​Distal Circulatory (blood
                                          flow in areas furthest from center from body, ie. feet)​ ​functions.


                   Upper Extremities      Inspect, ​Palpate​ ​& assess motor sensory &​ ​Distal Circulatory (blood
                                          flow in areas furthest from center from body, ie. hands)​ functions.
                                                     *Log Roll & ​Backboard ​Now!*

                    Posterior Thorax,     Inspect &​ ​Palpate Posterior Thorax (examine with touch the back
                   Lumbar & Buttocks  around the chest)​.
                                          Inspect &​ ​Palpate Lumbar (examine with touch the lower back)​ &
                                          buttocks areas.

              6.​       ​Once your exam is finished place an ​IV (intravenous line)​ in an appropriate location to begin
              further treatment.
              7.​       ​At this point in time you may give them pain medication such as ​Morphine​.
                     a.​       ​See the ​Medication List​ in the back section of the handbook for more information.


              Special Cases:
              Sometimes EMS members will encounter a patient who needs more advanced and specialized
              care. The following protocols are for those patients. ​Don’t forget​ standard Protocol applies to all
              types of patients. Before you do anything in this section of the ASOP be sure you’ve finished the
              following procedures:
                     a.​      ​Check the patient's ​L.O.C.
                     b.​      ​Finish your​ A.B.C's.
                     c.​       ​Placed a ​C-Collar ​if required.
                     d.​      ​Started ​CPR ​if required.
                     e.​       ​Loaded the patient into the ambulance appropriately.
                     f.​        ​Called in a ​Medivac ​if required.

              Burn Protocol
              1.​       ​Check your patients airway first to see if its obstructed. Is there swelling around or in the
              throat?
                     a.​       ​If you see any of these symptoms,​ ​Intubate (place a tube in the throat to allow air
              flow)​ now before it's too late. You can always take the tube out, but you can't always get it in.
                     b.​      ​If there is no threat of ​Asphyxiation (suffocation)​ ​place an ​Oxygen Mask​ on them.
                     c.​       ​If they are wearing any jewelry, ​necklaces especially​, remove them now.
              2.​       ​Once the airway is secure start and ​IV​.
                     a.​       ​If possible place the ​IV​ ​in a none burned area.
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